question archive The nurse is assessing a client who has hydrocephalus
The nurse is assessing a client who has hydrocephalus
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The nurse is assessing a client who has hydrocephalus. Which assessment techniques indicate the client's functions of Cranial nerves III, IV and VI are intact? Select all that apply.
a. The client reads a Snellen chart accurately
b. The client can follow the movement of the nurse's finger with the eyes in each of the 6 directions of gaze
c. The ability to distinguish sharp and dull sensations on the face
d. The client's smile is symmetrical
e. Pupils are equal in size, round, and reactive to light and accommodation.
f. The eyelid remains open
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The answers are C and D.
The ability to distinguish sharp and dull sensations on the face and Pupils are equal in size, round, and reactive to light and accommodation.
Step-by-step explanation
Testing for Cranial nerve III, IV and VI is done by testing for light touch, pain and temperature is tested the same as light tough but using a sharp object, one should also assess for extraocular movements and pupillary light reflexes.
