The nurse is caring for a patient who has sustained a traumatic head injury.The practitioner has asked the nurse to test the patient's oculocephalic reflex.Which findings indicate that the patient has an intact oculocephalic reflex?
A) The patient's eyes move in the same direction the head is turned.
B) The patient's eyes move in the opposite direction to the movement of the patient's head.
C) The patient's eyes rove and move in opposite directions from each other.
D) The patient's eyes move up and down and then back and forth.

Question

Quizplus · Accepted Answer

To assess the oculocephalic reflex,the nurse holds the patient's eyelids open and briskly turns the head to one side while observing the eye movements and then briskly turns the head to the other side and observes.If the eyes deviate to the opposite direction in which the head is turned,doll's eyes are present,and the oculocephalic reflex arc is intact.If the oculocephalic reflex arc is not intact,the reflex is absent.

The Nurse Is Caring for a Patient Who Has Sustained