The Nurse Is Assessing a Client Who Had a Dissection

question 16

Multiple Choice

The nurse is assessing a client who had a dissection of all branches of the right trigeminal nerve.When asked to wrinkle his forehead,the client wrinkles only the left side.Which is the nurse's best action?

• A) Place the client in high Fowler's position.
• B) Document the finding.
• C) Assess the corneal reflex.
• D) Notify the health care provider.

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Definitions:

Shoulder

The region where the arm connects to the torso, encompassing various muscles, joints, and bones.

Joint

A structure in the human or animal body where two parts of the skeleton are fitted together.

Humerus

The long bone in the upper arm or forelimb, extending from the shoulder to the elbow.

Extensor Carpi Ulnaris

A muscle of the forearm that extends and adducts the wrist.