ATI Nur 347 Holistic Assessment Proctored Exam
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ATI Nur 347 Holistic Assessment Proctored Exam
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Question: 1 of 52Ati Nur 347 Holistic Assessment Proctored Exam
During a physical examination, a client demonstrates difficulty swallowing. Which cranial nerve should the nurse consider assessing for dysfunction?
Explanation
Choice A reason: Cranial nerve VII, the facial nerve, is primarily responsible for facial expressions, taste on the anterior two-thirds of the tongue, and lacrimation. While it has sensory and motor functions, it is not the primary nerve associated with the complex swallowing reflex mechanism, which involves the pharynx. Choice B reason: Cranial nerve IX, the glossopharyngeal nerve, provides motor innervation to the stylopharyngeus muscle and sensory innervation to the pharynx, posterior one-third of the tongue, and tonsils. It is critical for the gag reflex and coordinating the muscular actions necessary for efficient, safe swallowing, making it the primary focus here. Choice C reason: Cranial nerve V, the trigeminal nerve, handles motor function for muscles of mastication and sensory input from the face. While mastication is the initial stage of ingestion, dysphagia specifically related to the swallowing reflex is more directly mediated by the glossopharyngeal and vagus nerves. Choice D reason: Cranial nerve I, the olfactory nerve, is exclusively sensory and is responsible for the sense of smell. It does not play any role in the motor function of the oropharyngeal muscles or the coordination of the swallowing reflex, thus it is irrelevant to the assessment of dysphagia.
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