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How do you assess cranial nerves in nursing?
Cranial Nerve V – Trigeminal
- Test sensory function. Ask the patient to close their eyes, and then use a wisp from a cotton ball to lightly touch their face, forehead, and chin.
- Test motor function. Ask the patient to clench their teeth tightly while bilaterally palpating the temporalis and masseter muscles for strength.
How do you document the normal cranial nerve assessment?
Documentation of a basic, normal neuro exam should look something along the lines of the following: The patient is alert and oriented to person, place, and time with normal speech. No motor deficits are noted, with muscle strength 5/5 bilaterally. Sensation is intact bilaterally.
Where does the vestibulocochlear nerve go in the brain?
Cranial nerve 8, the vestibulocochlear nerve, goes to the middle portion of the brainstem called the pons, (which then is largely composed of fibers going to the cerebellum).
How do I document a neurological assessment?
How do you test for cranial nerve V?
This will alter the test if worn. Have the patient stare at an object far away and go in at the side and touch the cornea with the twisted cotton ball. Result: Both eyes should blink simultaneously. An abnormal finding would be the eyes don’t blink. For this test, the patient can open their eyes.
How are the 3rd and 4th cranial nerves assessed?
For the 3rd (ocolomotor), 4th (trochlear), and 6th (abducens) cranial nerves, eyes are observed for symmetry of movement, globe position, asymmetry or droop of the eyelids (ptosis), and twitches or flutters of globes or lids.
What is the function of the cranial nerve IX?
Cranial Nerve IX (Glossopharyngeal Nerve): Motor to muscles of the phaynx and larynx, Sensory to taste. Motor portion of Gag reflex: Touch the back of Patient’s throat with tongue depressor. Not gagging is positive for CN IX lesion. Cranial Nerve X (Vagus Nerve): Sensory to taste, Motor to muscles of soft palate and vocal cords.
How is the abducens nerve tested in the eye?
The abducens nerve is examined in conjunction with the oculomotor and trochlear nerves by testing the movements of the eye. The patient is asked to follow a point with their eyes (commonly the tip of a pen) without moving their head.