The client had the right trigeminal nerve (all branches) dissected 1 day ago during microvas-cular surgery. When the client is asked to wrinkle his forehead, only the left side wrinkles. What is the nurse's best action?
A. Place the client in a high Fowler's position.
B. Document the finding as the only action.
C. Assess the corneal reflex.
D. Notify the physician.
B
Loss of motor and sensory function after complete trigeminal nerve dissection is normal.
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