Which behavior causes the nurse to report a positive Romberg test?
The patient cannot touch his nose with eyes closed.
The patient sways from side to side.
The patient complains of dizziness.
The patient cannot keep his eyes closed.
The Correct Answer is B
A. Inability to touch the nose with eyes closed is part of the finger-to-nose test, not the Romberg test.
B. A positive Romberg test is indicated when the patient sways or loses balance while standing with feet together and eyes closed. This suggests a problem with proprioception or the vestibular system.
C. Dizziness may occur during the test but does not constitute a positive result unless accompanied by swaying or imbalance.
D. The patient being unable to keep eyes closed is not a criterion for a positive Romberg test. The test evaluates balance, not voluntary eye closure.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Sleeping with two pillows under the head may not specifically relieve joint stiffness or discomfort.
B. Taking a warm bath the evening before may help relax muscles but does not directly address morning stiffness.
C. Applying moist heat in the morning helps relax stiff joints and muscles, reducing discomfort common with rheumatoid arthritis.
D. Wearing splints at night is more useful for preventing flexion contractures rather than relieving morning discomfort.
Correct Answer is D
Explanation
A. Ambulation is usually delayed until after initial assessment and pain/swelling control.
B. Wrapping the knee may be appropriate but ice application takes priority to reduce swelling and pain.
C. Passive ROM exercises are generally started later, not immediately post-procedure.
D. Applying ice packs helps control inflammation and swelling immediately after arthroscopy.
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