Question

The nurse is performing a neurological assessment on a client and elicits a positive romberg's sign. the nurse makes this determination based on which observation?

Answer 1

The nurse is performing a neurological assessment on a client and elicits a positive Romberg's sign. the nurse makes this determination based on a significant sway when the client stands erect with feet together arms at the side and eyes closed observation.

In order to look for imbalance brought on by a loss of proprioceptive sensory input, Romberg's sign compares equilibrium with the eyes open and closed. When proprioception is impaired, a patient may be able to stand up straight with their eyes open but sways or collapses when they close their eyes.

In order to maintain balance while keeping their eyes open, the patient stands with their feet as close together as possible. In most cases, closing the eyes just temporarily throws balance off. Eye closure increases swaying or outright loss of balance in patients with Romberg's sign deficient proprioception, necessitating a step to reestablish equilibrium and, in rare cases, a near fall. The Romberg sign is a delicate posterior column signal; it is not a cerebellar signal.

Learn more about Romberg sign here

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