Due to cranial nerve involvement in Bell's palsy, which of the following would prevent a potential complication from the disorder?
Wearing sunglasses while symptomatic
Applying an eye patch before sleep
An antihistamine eye drop
Antibiotic ophthalmic ointment
The Correct Answer is B
A. Wearing sunglasses while symptomatic
Sunglasses reduce photophobia, but they do not prevent corneal damage from dryness.
B. Applying an eye patch before sleep
Bell's palsy affects cranial nerve VII (facial nerve), leading to incomplete eye closure. This can cause corneal abrasions and dryness. An eye patch at night prevents corneal injury.
C. An antihistamine eye drop
Antihistamine eye drops may dry out the eye further, worsening the risk of corneal injury.
D. Antibiotic ophthalmic ointment
Antibiotics are not necessary unless an infection is present. Lubricating drops or artificial tears are more appropriate.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Provide the daughter and client with nutritional counseling.
While nutrition is important, assessing for abuse is the priority.
B. Interview the client alone and assess for abuse.
The client’s reluctance and daughter’s interruptions suggest potential elder abuse.
C. Take the history from the daughter due to the client’s confusion.
The client should be interviewed alone first.
D. Request a psychiatric evaluation.
Confusion can result from dehydration or trauma, not necessarily a psychiatric disorder.
Correct Answer is B
Explanation
A. 20-gauge catheter in the right wrist infusing IV antibiotics
Infusing antibiotics can cause incompatibilities.
B. 20-gauge catheter in the right forearm infusing 0.9% Normal Saline
A 20-gauge or larger catheter in a patent IV site with compatible fluid (NS) is required for PRBC transfusion.
C. 22-gauge catheter in the left forearm infusing 0.45% Normal Saline
A 22-gauge catheter is too small for safe transfusion.
D. 18-gauge infusing 20 mg Potassium Chloride IV
Potassium chloride infusion should not be interrupted, making this site unsuitable.
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