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Cranial Nerves Assessment

Cranial Nerves Assessment

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Published by NursesLabs.com
Cranial nerves assessment form. Easy to fill up.
Cranial nerves assessment form. Easy to fill up.

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Published by: NursesLabs.com on Mar 18, 2010
Copyright:Attribution Non-commercial


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Cranial Nerves Assessment Form
Cranial Nerve Function Method Normal Findings
Client’s Responses
I Olfactory Smell receptionandinterpretationAsk client to closeeyes and identifydifferent mildaromas suchalcohol, powderand vinegar.Client should beable to distinguishdifferent smellsII Optic Visual acuityand fieldsAsk client to readnewsprint anddetermine objectsabout 20 ft. awayClient should beable to readnewsprint anddetermine farobjectsIII OculomotorExtraocular eyemovements, lidelevation,papillaryconstrictionslens shapeAssess ocularmovements andpupil reactionClient should beable to exhibitnormal EOM andnormal reaction of pupils to light andaccommodationIV Trochlear Downward andinward eyemovementAsk client to moveeyeballs obliquelyClient should beable to moveeyeballs obliquelyV TrigeminalSensation of face, scalp,cornea, andoral and nasalmucousmembranes.Chewingmovements of the jawElicit blink reflexby lightly touchinglateral sclera; totest sensation,wipe a wisp of cotton over
client’s forehead
for light sensationand usealternating bluntand sharp ends of safety pin to testdeep sensationAssess skinsensation as of ophthalmicbranch aboveClient blinkswhenever sclera islightly touched; ableto feel the wisp of cotton over the areatouched; able todiscriminate bluntand sharp stimuliClient is able tosense and
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Ask client toclench teethdistinguish differentstimuliClient should beable to clench teethVI AbducensLateral eyemovementAsk client to moveeyeball laterallyClient should beable to moveeyeballs laterallyVII Facial Taste onanterior 2/3 of the tongueFacialmovement, eyeclosure, labialspeechAsk client to dodifferent facialexpressions suchas smiling,frowning andraising of eyebrows; askclient to identifyvarious tastesplaced on the tipand sides of themouth: sugar, saltand coffeeClient should beable to do differentfacial expressionssuch as smiling,frowning and raisingof eyebrows; able toidentify differenttastes such assweet, salty andbitter tasteVIII Acoustic Hearing andbalance
Assess client’s
ability to hearloud and softspoken words; dothe watch tick testClient should beable to hear loudand soft spokenwords; able to hearticking of watch onboth earsIX GlossopharyngealTaste onposterior 1/3of tongue,pharyngeal gagreflex,sensation fromthe eardrumand ear canal.Swallowing andphonationmuscles of thepharynxApply taste onposterior tonguefor identification(sugar, salt andcoffee); ask clientto move tonguefrom side to sideand up and down;ask client toswallow and elicitgag reflex throughsticking a cleantongue depressor
into client’s
mouthClient should beable to identifydifferent tastes suchas sweet, salty andbitter taste; able tomove tongue fromside to side and upand down; able toswallow withoutdifficulty, with (+)gag reflexX Vagus Sensation from Ask client to Client should be

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