Author Question: During an assessment of the CNs, the nurse finds the following: asymmetry when the patient smiles or ... (Read 74 times)

erika · **on:** Jun 25, 2018

During an assessment of the CNs, the nurse finds the following: asymmetry when the patient smiles or frowns, uneven lifting of the eyebrows, sagging of the lower eyelids, and escape of air when the nurse presses against the right puffed cheek.

This would indicate dysfunction of which of these CNs?
a.
Motor component of CN IV
b.
Motor component of CN VII
c.
Motor and sensory components of CN XI
d.
Motor component of CN X and sensory component of CN VII

Question 2

A 50-year-old woman is in the clinic for weakness in her left arm and leg that she has noticed for the past week. The nurse should perform which type of neurologic examination?

a. Glasgow Coma Scale
b. Neurologic recheck examination
c. Screening neurologic examination
d. Complete neurologic examination

komodo7 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: B
The findings listed reflect a dysfunction of the motor component of the facial nerve (CN VII).

Answer to Question 2

ANS: D
The nurse should perform a complete neurologic examination on an individual who has neurologic concerns (e.g., headache, weakness, loss of coordination) or who is showing signs of neurologic dysfunction. The Glasgow Coma Scale is used to define a person's level of consciousness. The neurologic recheck examination is appropriate for those who are demonstrating neurologic deficits. The screening neurologic examination is performed on seemingly well individuals who have no significant subjective findings from the health history.