The nurse prepares to assist with the assessment of a patient's oculovestibular reflex. What should be done before this reflex is assessed?

Question

Quizplus · Accepted Answer

1. It is not necessary to ensure that the patient's spinal cord has been found intact.
2. It is not necessary to ensure that the patient has an intact gag reflex before assessing this reflex.
3. The head of the patient's bed is elevated 30 degrees when testing this reflex.
4. The oculovestibular reflex, or cold calorics, is performed only after determining that the tympanic membrane is intact. The head of the patient's bed is elevated 30 degrees, and then 50 mL of cool saline is injected into an ear.

The Nurse Prepares to Assist with the Assessment of a Patient's