When bringing in the meal tray for a patient with damage to the glossopharyngeal nerve (CN IX), which action by the nurse is most appropriate?
1. Place the tray on the patient's right side.
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.
2
Rationale 1: The optic nerve (CN II) controls vision. There should be no extinction present in this patient.
Rationale 2: Gag reflex and swallowing are controlled by CN IX.
Rationale 3: Auditory function is controlled by the acoustic nerve (CN VIII).
Rationale 4: The optic nerve (CN II) controls vision.
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