Neurologic System Assignment
Neurologic System Assignment
Hello, this task is from Neurologic System. Please fill in the entire patient history from pages 1 and from pages 2 to 4 in the examination, all the questions of the patient’s physical examination must be answered. You need a disease that has affected two cranial nerves that are described in the table and the rest of the cranial nerves that are normal. The teacher does not want them to only put normal but to describe that cranial nerve showing that it is fine. You do not have to fill out page 5. Please just complete pages 2 to 4
The bibliography is Physical Examination and Health Assessment 6th Edition by Carolyn Jarvis
ORDER CUSTOM, PLAGIARISM-FREE PAPER
Special Circumstances and Advanced Practice
➢ ASSESS individual cranial nerves.
o TEST nose for smell.
o TEST eyes for visual acuity.
o TEST eyes for peripheral vision.
o OBSERVE eyes for extraocular muscle movement.
o OBSERVE eyes for papillary size, shape, equality, constriction, and accommodation.
o EVALUATE face for movement and sensation.
o TEST ears for hearing.
o TEST tongue for taste.
o INSPECT orophyarynx for gag reflex and movement of soft palate.
o TEST tongue for movement, symmetry, strength, and absence of tumors; test for muscle strength.
o TEST shoulders and neck muscles for strength and movement.
➢ TEST cerebellar function for balance and coordination.
o TEST for balance.
– Romberg test
– With eyes closed, stand on one foot, then the other
– Heel-to-toe walking
– Hop on one foot, then the other
– Deep knee bends
– Walk on toes, then on heels
o EVALUATE upper extremity.
– Alternately tap hands to thighs
– With eyes closed and outstretched arms, touch finger to
own nose
– Touch each finger to thumb in rapid sequence
– Rapidly move finger between nose and nurse’s finger
Mosby items and derived items © 2009,
The patient does not have a problem with her smell
She feels pain when walking
The eye lid seems to be droop and sag, trouble
moving the eye and pupil is bigger than normal. Bel
palsy has caused drooping of part of the face. She can
hear and listen. Fourth nerve palsy has caused the
eyes to turn abnormally.
Chapter 16 Neurologic System Page 4 Neurologic System Assignment
2005, 2002 by Mosby, Inc., an affiliate of Elsevier Inc.
Chapter 16 Neurologic System Page 4
Mosby items and derived items © 2009, 2005, 2002 by Mosby, Inc., an affiliate of Elsevier Inc.
Examination Technique Findings (document findings below)
o EVALUATE lower extremity.
– Lying supine, slide heel down
opposite shin
➢ ASSESS peripheral nerves.
o ASSESS for sensation—close eyes and test for sensation identification on upper and lower extremities.
o ASSESS sharp and dull sensation.
o ASSESS peripheral sensation with monofilament (advanced practice).
o ASSESS vibratory sense using tuning fork (advanced practice).
o ASSESS kinesthetic sensation. (advanced practice).
o TEST stereognosis (advanced practice).
o TEST two-point discrimination. (advanced practice).
o EVALUATE graphesthesia (advanced practice).
➢ EVALUATE extremities for deep tendon reflexes.
o Triceps reflex
o Biceps reflex
o Brachioradial reflex
o Patellar reflex
o Archilles tendon
➢ EVALUATE plantar reflex (advanced practice).
➢ EVALUATE ankle clonus (advanced practice).
➢ EVALUATE for superficial reflexes (abdominal).
The patient demonstrated the Romberg test (heal to
toe) and had unaffected balance while toe walking,
and heel walking
The patient had a problem with movement of the
upper and lower extremities with the finger and nose
exercise going back and forth.
Chapter 16 Neurologic System Page 5
Mosby items and derived items © 2009, 2005, 2002 by Mosby, Inc., an affiliate of Elsevier Inc.
Nursing Diagnoses and Collaborative Problems Based on the subjective and objective data collected above, identify applicable nursing diagnoses and
collaborative problems. Neurologic System Assignment