The meal tray for a patient with damage to the glossopharyngeal nerve (CN IX) has been delivered. What action should the nurse take first?
1. tell the patient what food is on the tray
2. assess the patient's ability to swallow
3. speak loudly and make eye contact with the patient
4. assist the patient in identifying where items are on the tray
Correct Answer: 2
The gag reflex and swallowing are controlled by CN IX. Auditory function is controlled by the acoustic nerve (CN VIII), and vision by the optic nerve (CNII). Additionally, assessment is the first nursing action.
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