Following a motor vehicle accident, a client with injuries to the face is tested for muscle strength. The nurse determines there is adequate strength of the eyes and eyelids when the client is able to:
A)
blink rapidly.
B)
keep eyelids closed for 30 seconds.
C)
follow the nurse's finger movements with eyes.
D)
close eyes tightly.
D
Explanation:
A)
Ability to shut eyes tightly indicates intact use of both eye and eyelid muscles. Blinking and closing eyelids indicates muscle movement but does not measure strength. Following fingers with the eyes measures eye muscles, but not the eyelids.
Application
Evaluation
Physiological Integrity: Physiological Adaptation
B)
Ability to shut eyes tightly indicates intact use of both eye and eyelid muscles. Blinking and closing eyelids indicates muscle movement but does not measure strength. Following fingers with the eyes measures eye muscles, but not the eyelids.
Application
Evaluation
Physiological Integrity: Physiological Adaptation
C)
Ability to shut eyes tightly indicates intact use of both eye and eyelid muscles. Blinking and closing eyelids indicates muscle movement but does not measure strength. Following fingers with the eyes measures eye muscles, but not the eyelids.
Application
Evaluation
Physiological Integrity: Physiological Adaptation
D)
Ability to shut eyes tightly indicates intact use of both eye and eyelid muscles. Blinking and closing eyelids indicates muscle movement but does not measure strength. Following fingers with the eyes measures eye muscles, but not the eyelids.
Application
Evaluation
Physiological Integrity: Physiological Adaptation
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