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CRANIAL NERVE
ASSESSMENT
12
Nursing
Undergraduate 1
07/17/2013

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Cards

Term
CN I
Definition
HAVE THE PATIENT SHUT THE EYES AND BLOCK ONE NOSTRIL, HOLD AN ITEM SUCH AS GROUND COFFEE OR ORANGES UNDER THE PATIENTS NOSE AND ASK HIM WHAT IT IS.
Term
CN II
Definition
SNELLEN CHART OR HAVE THE PATIENT READ ONE EYE AT A TIME
**UNILATERAL BLINDNESS CAN INDICATE A LESION OR PRESSURE IN THE GLOBE OR OPTIC NERVE. LOSS OF THE SAME HALF OF THE VISUAL FIELD IN BOTH EYES (HOMONYMOUS HEMIANOPSIA) CAN INDICATE LESION OF THE OPPOSITE SIDE OPTIC TRACT AS IN A CVA.
Term
CN III
Definition
EYE MOVEMENTS "H" PERRLA. A UNILATERALLY DILATED PUPIL
Term
CN IV
Definition
EYE MOVEMENTS 'H' PATTERN, PERRLA, EYELIDS. HAVE THE PATIENTS TURN EYES DOWNWARD, TEMPORALLY AND NASALLY.
**IF THE PATIENT WILL NOT DO THIS THE PATIENT MAY HAVE A FRACTURE IN THE EYE ORBIT OR BRAIN STEM TUMOR.***
(NOTE CN 3,4,6 ARE EXAMINED TOGETHER BECAUSE THEY CONTROL EYELID ELEVATION, EYE MOVEMENT AND PAPILLARY CONSTRICTION.
Term
CN V
Definition
FACIAL SENSATION, CORNEAL REFLEX MOTOR.
PALPATE JAWS AND TEMPLES WHILE PATIENT CLENCHES TEETH.
Term
CN VI ABDUCENS
Definition
ASSESSED WITH 3 AND 4
Term
CN VII
Definition
TASTE, SMILE, FROWN, CLOSE EYES TIGHTLY, LIFT EYEBROWS, AND PUFF CHEEKS. AN ASYMMETRICAL DEFICIT CAN BE FOUND IN TRAUMA, BELL'S PALSY, CVA, TUMOR AND INFLAMMATION.
Term
CN VIII
Definition
HEARING TEST
Term
CN IX
Definition
GAG REFLEX, SWALLOWING, TASTE,
Term
CN X
Definition
STIMULATION OF THE VAGUS NERVE INCREASE GASTRIC SECRETION, BRADYCARDIA. GIVING AN ENEMA OR TAKING A RECTAL TEMPERATURE CAN STIMULATE THE VAGUS NERVE.
Term
CN XI
Definition
SHRUG SHOULDERS, TURN HEAD AGAINST RESISTANCE
Term
CN XII
Definition
STICK OUT TOUNGE, MOVE SIDE TO SIDE.
**Wasting of tongue, deviation to one side, tremors, and an inability to distinctly say l, t, d, n sounds can indicate a lower or upper motor neuron lesion. **
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