During a physical assessment, the nurse should implement which actions initially when determining if a client's radial pulse is irregular? (Select all that apply.)

A. Facial, Trigeminal, Vestibulocochlear: The Facial nerve (VII) controls facial expressions, the Trigeminal nerve (V) is involved in facial sensation, and the Vestibulocochlear nerve (VIII) handles hearing and balance, none of which are directly related to eye movements.

B. Oculomotor, Trochlear, and Abducens: The Oculomotor nerve (III) controls most eye movements, the Trochlear nerve (IV) controls the superior oblique muscle for downward and outward movements, and the Abducens nerve (VI) controls the lateral rectus muscle for lateral eye movement.

C. Spinal Accessory, Facial, Trigeminal: The Spinal Accessory nerve (XI) controls neck and shoulder movements, while the Facial nerve (VII) and Trigeminal nerve (V) are not involved in eye movements.

D. Glossopharyngeal, Vagus, Hypoglossal: The Glossopharyngeal nerve (IX) is involved in taste and salivation, the Vagus nerve (X) affects parasympathetic functions, and the Hypoglossal nerve (XII) controls tongue movements, none of which are related to eye movements.

A. Mental: The client's disorientation and altered perception suggest a need for a mental health assessment to evaluate cognitive function, potential delirium, or other psychiatric conditions.

B. Physical: While the client's shaking is noted, the primary concern in this scenario is the client's altered mental state, rather than physical health alone.

C. Spiritual: The client's behavior does not directly indicate a need for a spiritual assessment.

D. Interpersonal: Although the client’s behavior may impact interpersonal interactions, the immediate need is to assess the mental status due to the confusion and altered perception.