The nurse notes that there is an audible clicking sound when the patient opens and closes the mouth. What is the appropriate response of the nurse at this time?
a. Recording this as an abnormal finding, requiring additional assessment
b. Measuring the distance between each side of the mandible and the eyes
c. Applying resistance to the maxilla and asking the patient to repeat the motion
d. Documenting this finding as expected if no other signs or symptoms are found
ANS: D
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