A nurse delegates care to the unlicensed assistive personnel (UAP). Which statement should the nurse include when delegating care for a client with cranial nerve II impairment?
a. "Tell the client where food items are on the breakfast tray."
b. "Place the client in a high-Fowler's position for all meals."
c. "Make sure the client's food is visually appetizing."
d. "Assist the client by placing the fork in the left hand."
ANS: A
Cranial nerve II, the optic nerve, provides central and peripheral vision. A client who has cranial nerve II impairment will not be able to see, so the UAP should tell the client where different food items are on the meal tray. The other options are not appropriate for a client with cranial nerve II impairment.
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