The nurse is assessing a patient who experienced a cerebrovascular accident (CVA) 24 hours ago. The patient does not have a gag reflex. Which conclusions by the nurse are appropriate based on this data? Select all that apply.

Question

Quizplus · Accepted Answer

The gag reflex is mediated by the glossopharyngeal nerve (cranial nerve IX) and the vagus nerve (cranial nerve X). Damage to these nerves can result in the absence of a gag reflex. A lack of gag reflex, especially following a cerebrovascular accident (CVA), increases the patient's risk for aspiration due to the inability to properly manage secretions or food.

The Nurse Is Assessing a Patient Who Experienced a Cerebrovascular