A nurse is assessing a client who has Bell's palsy. Which of the following findings should the nurse expect? (Select all that apply)
Impaired taste
Pain behind the ear.
Muscle distortion
Facial twitching
Hearing loss
Correct Answer : A,B,C
A. Impaired taste is a common symptom of Bell's palsy due to the involvement of the facial nerve, which carries taste fibers.
B. Pain behind the ear is described as a sharp or aching pain. It is a precursor to facial weakness in many cases.
C. As the facial muscles become weak or paralyzed, it leads to a distorted appearance, such as drooping of the eyelid or mouth.
D. Facial twitching is not a typical symptom of Bell's palsy; instead, the muscles are weakened.
E. Hearing loss is not a typical symptom of Bell's palsy.
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Related Questions
Correct Answer is ["B","C","E","F"]
Explanation
A. "I will look up at the ceiling when I swallow.". The recommended position for swallowing is typically sitting upright with the chin slightly tucked.
B. "I will have to stop watching television while I eat." This indicates an understanding of the importance of focusing on eating and avoiding distractions.
C. "My food will have to be the consistency of pudding." This indicates understanding of the Level 3 dysphagia diet, which requires foods to be moist and easily swallowed.
D. "I can have cream soups on this diet." While cream soups might seem like a good option, they can be too thick for a Level 3 dysphagia diet. The consistency should be more like a thin purée.
E. "I shouldn't drink liquids while I have food in my mouth." This demonstrates understanding of the importance of avoiding choking hazards.
F. "I won't be able to eat nuts anymore." This indicates understanding of the restrictions on hard, crunchy foods on a Level 3 dysphagia diet.
Correct Answer is C
Explanation
A. amiodarone is a medication used to treat ventricular fibrillation administered after defibrillation.
B. Epinephrine is also used in cardiac arrest, but it is administered after unsuccessful defibrillation attempts.
C. Defibrillation is the immediate life-saving intervention for ventricular fibrillation. It delivers a high- energy shock to the heart to try to restore normal rhythm.
D. While important in cardiac arrest, it is not the immediate priority. Defibrillation takes precedence.
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