Summary of Cranial Nerve Examination Nursing | Cranial Nerve Assessment I-XII (1-12)

Summary of Cranial Nerve Examination Nursing Video

Main Ideas and Concepts:

• The video provides a detailed nursing assessment of cranial nerves I through XII.
• The assessment involves a series of tests to evaluate the function of each cranial nerve.
• Importance of patient privacy, hand hygiene, and clear communication is emphasized before starting the assessment.

Cranial Nerve Assessment Steps:

1. Preparation:
   • Ensure patient privacy.
   • Perform hand hygiene.
   • Explain the assessment process to the patient.
2. Cranial Nerve I (Olfactory):
   • Test the sense of smell by having the patient close their eyes and identify a pleasant scent (e.g., vanilla extract).
3. Cranial Nerve II (Optic):
   • Visual Field Test: Use the confrontation visual field test to assess peripheral vision by having the patient cover one eye and identify the number of fingers shown in different visual fields.
   • Visual Acuity Test: Use a Snellen chart from 20 feet away to check the patient's ability to read lines of letters with each eye covered individually and then both eyes.
4. Cranial Nerves III (Oculomotor), IV (Trochlear), VI (Abducens):
   • Check for involuntary eye movements (nystagmus) using a pin light in the six cardinal fields of gaze.
   • Test pupil reaction to light and accommodation (constriction and crossing of the eyes when focusing on a near object).
5. Cranial Nerve V (Trigeminal):
   • Assess mastication by having the patient clench their teeth and feel the masseter and temporal muscles.
   • Test the ability to open the mouth against resistance.
6. Cranial Nerve VII (Facial):
   • Evaluate facial expressions by asking the patient to close their eyes tightly, smile, and puff out their cheeks.
7. Cranial Nerve VIII (Vestibulocochlear):
   • Test hearing by whispering words while occluding one ear and asking the patient to repeat them.
8. Cranial Nerve IX (Glossopharyngeal):
   • Ask the patient to say "ah" to observe the movement of the uvula.
   • Test the gag reflex by lightly stimulating the back of the throat.
9. Cranial Nerve X (Vagus):
   • Ensure the patient can speak without hoarseness and can swallow properly.
10. Cranial Nerve XI (Accessory):
    • Assess shoulder shrugging and head movement against resistance.
11. Cranial Nerve XII (Hypoglossal):
    • Have the patient stick out their tongue and move it side to side to evaluate motor function.

Conclusion:

The video concludes with a reminder to check out a complete head-to-toe nursing assessment video and encourages viewers to subscribe for more content.

Speaker:

• Sarah from Registered Nurse RN (rn.com).

Notable Quotes

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Category

Educational

Video