The nurse is precepting a new graduate nurse.The new graduate asks about testing the oculovestibular reflex.What should the nurse tell the new graduate?

Question

Quizplus · Accepted Answer

The oculovestibular reflex is one of the final clinical assessments of brainstem function and is only performed by a practitioner.After confirmation that the tympanic membrane is intact,the head is raised to a 30-degree angle.Then 20 to 100 mL of ice water is injected into the external auditory canal.In a normal response,eye movement is in the direction of the injection site.An abnormal response is disconjugate eye movement,which indicates a brainstem lesion,or no response,which indicates little to no brainstem function.

The Nurse Is Precepting a New Graduate Nurse