![]() ![]() Move the penlight through the six cardinal fields of gaze.īoth eyes coordinated, move in unison with parallel alignment.Īsk client to smile, raise the eyebrows, frown, and puff out cheeks, close eyes tightly. Ask the client to follow the movements of the penlight with the eyes only. Determine sensation to warm and cold object by asking client to identify warmth and coldness. To test deep sensation, use alternating blunt and sharp ends of an object. To test light sensation, have client close eyes, wipe a wisp of cotton over client’s forehead. While the client looks upward, lightly touch the lateral sclera of eye to elicit blink reflex.Ĭlient should have a (+) corneal reflex, able to respond to light and deep sensation and able to differentiate hot from cold.Ĭlient was able to elicit corneal reflex, sensitive to pain stimuli and distinguish hot from cold. Move the penlight upward, downward, sideward and diagonally.Ĭlient’s eyes should be able to follow the penlight as it moves. Pupils constrict when looking at a near object, dilate when looking at a distant object, converge when near object is moved towards the nose. Next, move an object towards the client’s nose. Alternate the gaze from the near to the far object. PERRLA (pupils equally round and reactive to light and accommodation)Īsk client to look at a near object and then at a distant object. Illuminated and non-illuminated pupil should constrict. Shine the light on the pupil again, and observe the response of the other pupil. Observe the response of the illuminated pupil. Using a penlight and approaching from the side, shine a light on the pupil. The client should be able to read with each eye and both eyes.Ĭlient was able to read with each eye and both eyes. ![]() Provide adequate lighting and ask client to read from a reading material held at a distance of 36 cm. I: Olfactory Cranial Nerve AssessmentĪsk the client to smell and identify the smell of cologne with each nostril separately and with the eyes closed.Ĭlient is able to identify different smell with each nostril separately and with eyes closed unless such condition like colds is present.Ĭlient was able to describe the odor of the materials used. Listed below is a chart of the 12 cranial nerves, the assessment technique used, if the response elicited is normal, and how to document it. There are 12 cranial nerves that are often forgotten by nurses, so with that in mind, here’s a free assessment form that you can use! Cranial Nerves Chart Check out this cranial nerves chart for assessment in nursing! Assessment of the cranial nerves provides insightful and vital information about the patient’s nervous system.
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