The nurse is performing a neurological assessment and needs to assess for vibration, as well as sharp and dull sensation. The nurse would use which of the following objects to obtain this information? Standard Text: Select all that apply
1. Tuning fork
2. Paper clip
3. Safety pin
4. Cotton ball
5. Tongue blade
1,3
Rationale 1: Tuning fork. To test for sharp and dull sensation, areas of the client's skin are touched with the sharp and blunt ends of a safety pin. The client then verbalizes if the sensation is dull or sharp. Vibration is tested by striking a tuning fork and placing it on bony parts of the client's body.
Rationale 2: Paper clip. To test for sharp and dull sensation, areas of the client's skin are touched with the sharp and blunt ends of a safety pin. The client then verbalizes if the sensation is dull or sharp. Vibration is tested by striking a tuning fork and placing it on bony parts of the client's body.
Rationale 3: Safety pin. To test for sharp and dull sensation, areas of the client's skin are touched with the sharp and blunt ends of a safety pin. The client then verbalizes if the sensation is dull or sharp. Vibration is tested by striking a tuning fork and placing it on bony parts of the client's body.
Rationale 4: Cotton ball. The trigeminal nerve (cranial nerve V) may be evaluated by using a wisp of cotton to touch the face.
Rationale 5: Tongue blade. The gag reflex may be evaluated by using a tongue blade.
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