Neurological Question #37

Question

The nurse is preparing an instructional discharge plan for a client with damage to cranial nerve II. Which item will be included in the discharge instruction?

Answers

  1. Make sure the environment is clutter free and clear of obstacles.
    • Rationale:
  2. Make sure all family and caretakers speak loudly.
    • Rationale:
  3. Have the client to open the mouth for inspection of the tongue daily.
    • Rationale:
  4. Have the client to drink only thickened liquids.
    • Rationale:

Overview

Explanation

Cranial nerve II is the optic nerve and visual center, so the nurse needs to ensure that instruction on safe environment is provided. Speaking loudly may be instruction for hearing (Cranial nerve VII). Cranial nerve X, XI, & XII are more appropriate for answers C and D.

Learning Outcomes

Test Taking Tip

Video Rationale