Final answer:
To conduct a head-to-toe examination, begin with the head and progress down to the feet, systematically assessing each body part. The examination includes evaluating cranial nerves, coordination, balance, and sensory function. It also involves assessing the patient's ability to follow verbal commands and concluding with the lower extremities.
Step-by-step explanation:
To perform a head-to-toe examination, you would follow option B: Begin with the head and progress down to the feet. This systematic approach ensures that no part of the patient's body is overlooked and that the examination is conducted in an organized manner. During the examination, various functions are tested such as cranial nerve assessment, which includes having the patient follow the tip of a pen to test visual fields and having the patient perform facial movements like smiling and eyebrow-raising to check for muscle strength and nerve function.
Subtests of walking and balance, such as normal walking, tandem gait, and walking on heels or toes, help in evaluating coordination and balance potentially indicating ataxia. Similarly, testing rapid, alternating movements involves having the patient touch each finger to their thumb or perform heel-to-shin tests.
Additionally, sensory function is assessed by having the patient report when they feel the touch of a pen on various parts of their body. Aspirin therapy may be initiated if symptoms plus the examination suggest a possible risk of blood clots. Also evaluated is the patient’s ability to follow verbal commands for movement without visual aid, to assess praxis.