To conduct the Romberg test, the nurse asks the patient to stand with the feet together and eyes closed. What must the nurse observe for the test to be considered normal?
1. swaying from side to side
2. minimal swaying for up to 20 seconds
3. sufficient balance to hold completely still without swaying
4. swaying to one side and loss of balance
Correct Answer: 2
A normal result of the Romberg test would be the patient displaying minimal swaying for up to 20 seconds. Some minor swaying may occur but should not cause loss of balance. The nurse should stand close to the patient to prevent falling. A positive Romberg test, in which the patient sways and may lose balance, is a sign of cerebellar dysfunction as in cerebellar ataxia.
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