Author Question: A nurse assesses a client who demonstrates a positive Romberg's sign with eyes closed but not with ... (Read 42 times)

rl · **on:** Jun 25, 2018

A nurse assesses a client who demonstrates a positive Romberg's sign with eyes closed but not with eyes open. Which condition does the nurse associate with this finding?

a. Difficulty with proprioception
b. Peripheral motor disorder
c. Impaired cerebellar function
d. Positive pronator drift

Question 2

A nurse asks a client to take deep breaths during an electroencephalogra phy. The client asks, Why are you asking me to do this? How should the nurse respond?

a. Hyperventilation causes vascular dilation of cerebral arteries, which decreases electoral activity in the brain.
b. Deep breathing helps you to relax and allows the electroencephalogra ph to obtain a better waveform.
c. Hyperventilation causes cerebral vasoconstriction and increases the likelihood of seizure activity.
d. Deep breathing will help you to blow off carbon dioxide and decreases intracranial pressures.

cclemon1 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: A
The client who sways with eyes closed (positive Romberg's sign) but not with eyes open most likely has a disorder of proprioception and uses vision to compensate for it. The other options do not describe a positive Romberg's sign.

Answer to Question 2

ANS: C
Hyperventilation produces cerebral vasoconstriction and alkalosis, which increases the likelihood of seizure activity. The client is asked to breathe deeply 20 to 30 times for 3 minutes. The other responses are not accurate.