The nurse is performing a neurological assessment on a client and notes a positive Romberg's test. The nurse makes this determination based on which observation?
1
An involuntary rhythmic, rapid twitching of the eyeballs
2
A dorsiflexion of the great toe with fanning of the other toes
3
A significant sway when the client stands erect with feet together, arms at the sides, and the eyes closed
4
A lack of normal sense of position when the client is unable to return extended fingers to a point of reference