Term
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Definition
1. Have you ever had any head injuries?
2. Do you experience dizziness?
3. Any headaches?
4. tingling?
5. numbness? |
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Term
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Definition
Olfactory
Ask client to close eyes and identify familiar odor placed under open nostril. One nostril at a time. |
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Definition
Optic
Test visual acuity with Snellen chart. One eye at a time, then both. Uncorrected, then corrected. |
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Term
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Definition
Oculomotor, Trochlear, & Abducens
1. PERRLA (pupils round, equal, react to light, and accommodate)
2. Extraocular eye movements - 8 cardinal fields of vision.
3. Test for nystigmus - bouncing of eyes in peripheries. |
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Definition
Trigeminal
1. Palpate jaw muscles while teeth clenched. Able to clench teeth. No pain.
2. Feel wisps with cotton with eyes closed - forehead, cheeks, & chin.
3. Able to discriminate between sharp and dull - forehead, cheeks, & chin. |
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Definition
Facial
1. Taste - anterior 2/3 of tongue.
2. SMILE. Show teeth. Frown. Wrinkle forehead. Raise eye brows. |
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Definition
Acoustic
1. Weber Test
2. Rinne's Test - AC > BC = normal
3. Whisper Test - 2 syllable word |
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Term
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Definition
To evaluate for conductive versus sensory-neuro hearing loss.
[Friedrich Eugen Weber, German otologist, 1823-1891]
A test for unilateral deafness. A vibrating tuning fork held against the midline of the top of the head is perceived as being so located by those with equal hearing ability in the ears;
to persons with unilateral conductive-type deafness, the sound will be perceived as being more pronounced on the diseased side;
in persons with unilateral nerve-type deafness, the sound will be perceived as being louder in the good ear. |
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Term
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Definition
Used to determine whether the pt has a conductive or sensory-neuro hearing loss.
[Heinrich Adolf Rinne, Ger. otologist, 1819-1868]
The use of a tuning fork to compare bone conduction hearing with air conduction. The vibrating fork is held by its stem on the mastoid process of the ear until the patient no longer hears it. Then, it is held close to the external auditory meatus. If the subject still hears the vibrations, air conduction exceeds bone conduction (this is the normal finding). |
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Term
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Definition
| A bedside estimate of hearing impairment in which the examiner stands 2 ft from one of the patient's ears and whispers a number followed by a letter. An approximate 30 dB hearing loss is suggested by inability to hear paired numbers and letters, esp. if the patient fails to detect several pairs of them. A patient who performs poorly on the test should be referred for formal testing by an audiologist. |
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Term
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Definition
Glossopharyngeal
1. Gag reflex
2. Swallow H2O
3. Posterior 1/3 of tongue |
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Definition
Vagus
Quality of speech. Voice clear and WNL. |
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Term
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Definition
Spinal Accessory
1. Shrug shoulders.
2. Turn head against resistance. |
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Term
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Definition
Hypoglossal
Move tongue against tongue blade up, down, left, right. |
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Term
| A mother reports that her infant's smile is "crooked." The nurse should assess which cranial nerve? |
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Definition
VII - facial
provides motor activity to the facial muscles |
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