Before performing the doll's eye or oculocephalic reflex, the ...

[CQXA]

Before performing the doll's eye or oculocephalic reflex, the nurse must verify
 
  a. the absence of cervical injury.
  b. the depth and rate of respiration.
  c. a physician's order to perform the maneuver.
  d. the patient's ability to follow a verbal command.

Question 2

Nursing management of the patient receiving a neuromuscular blocking agent should include
 
  a. withholding all sedation and narcotics.
  b. protecting the patient from the environment.
  c. keeping the patient supine.
  d. speaking to the patient only when necessary.

[Smiles0805]

Answer to Question 1

A
In an unconscious patient, assessment of ocular function and innervation of the medial longitudinal fasciculus (MLF) is performed by eliciting the doll's eyes reflex. If the patient is unconscious as a result of trauma, the nurse must ascertain the absence of cervical injury before performing this examination.

Answer to Question 2

B
Patient safety is a major concern for the patient receiving a neuromuscular blocking agent because these patients are unable to protect themselves from the environment. Special precautions should be taken to protect the patient at all times.