What should be done if a patient sways excessively before closing their eyes during the Romberg test?

In the context of the Romberg test, which is designed to assess a person's balance and proprioception, observing a patient sway excessively before they close their eyes indicates a potential imbalance or instability. If a patient demonstrates significant swaying, this raises concerns about their ability to maintain balance, especially in the absence of visual cues when their eyes are closed.

Stopping the test due to fall risk is crucial for ensuring the patient's safety. Excessive swaying suggests that the individual may not be able to remain upright, increasing the likelihood of a fall and potential injury. Therefore, the correct action is to prioritize patient safety by halting the assessment. This also allows healthcare providers to further evaluate the cause of the imbalance in a safe environment before attempting to proceed with additional testing or interventions.

Allowing them to proceed with the test or encouraging them to try again does not address the immediate risk posed by their instability. Having them sit down might temporarily alleviate the risk of falling, but it does not fully address the underlying issue that needs further assessment. Thus, stopping the test is the most appropriate action to take in this scenario.