The nurse is performing a neurological assessment on a patient who was just transferred from the PACU following abdominal surgery. Which action(s) correctly demonstrate(s) knowledge of a neurological assessment? (Select all that apply.)
a. Asking the patient to spell his name.
b. Asking the patient to identify where he is.
c. Noting if the patient can identify the sen-sation of touch.
d. Asking the patient to move his arms and legs.
e. Assessing the patient's pupils for response to light.
B, C, D, E
The level of consciousness, orientation, sensory status, motor skills, and pupillary responses are all integral components of the neurological assessment. Asking the patient to spell his name is not an assessment of neurological status, particularly immediately following surgery.
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