Health Assessment Flashcards
anosmia
lack of sense of smell as a result of CN-I dysfunction
clonus
hyperactive reflex indicating upper motor neuron disease
when present, there will be alternating flexion and extension
diplopia
double vision
hypalgesia
decreased pain sensation
hyperesthesia
increased sensation to touch
nystagmus
involuntary oscillations of the eye
papillaedema
edema of the optic nerve as it enters the retina
Oculomotor CN III
Trochlear CN IV
Abducens CN VI
occulomotor=Assess by having client move eyes through cardinal fields of gaze by following finger without moving head
evaluate client’s pupillary reaction to light and accomodation
pupils should be assessed for size regularity and equality
Trigeminal Nerve (CN V)
close eyes, state when face is touched with cotton
eval corneal reflex by touching client’s eye with cotton
assess motor function by having client clench teeth
Facial Nerve (CN VII)
Have client smile, frown, show teeth, close eyes, puff cheeks and raise eybrows
Assess muscle strength-have client puff cheek and attempt to push air through lips with pressure to cheek
Test anterior aspect of tongue for taste
Acoustic Nerve (CN VIII)
determine adequate hearing and balance
Weber test-tuning fork on top of head-compares equality of hearing in both ears
Rinne test-tuning fork-bone conduction/air conduction
Romberg test-eyes closed, feet together-balance
Glossopharyngeal (CN IX)
Vagus (CN X)
have client say “ah” and test gag reflex
observe client swallow
evaluate clients voice
Spinal Accessory (CN XI)
shrug shoulders, look for symmetry
turn head to right and left
Hypoglossal (XII)
stick out tongue
move laterally
push against cheek
Stereognosis
have client id object placed in hand with eyes closed