When reviewing the health history of a client, which of the following finding is consistent with a diagnosis of Bell's Palsy?
A Currently pregnant
B Thyroid disease
C Seizure disorder
D Current smoker
The Correct Answer is A
Choice A Rationale: Being currently pregnant is a risk factor for developing Bell's Palsy.
Choice B Rationale: Thyroid disease is not a direct risk factor or consistent finding in Bell's Palsy.
Choice C Rationale: Having a seizure disorder is not directly related to Bell's Palsy.
Choice D Rationale: Current smoking is not a risk factor associated with Bell's Palsy
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A Rationale: Reporting difficulty sleeping may be important but is not typically a critical concern in Guillain-Barre Syndrome.
Choice B Rationale: Removing the sequential compression device once a shift may require clarification or education but is not a significant medical concern.
Choice C Rationale: Hypoactive bowel sounds can indicate a potential bowel obstruction or paralytic ileus, which is a significant medical concern in clients with Guillain-Barre Syndrome and should be reported to the physician.
Choice D Rationale: A Glasgow Coma Score of 15 is within the normal range and would not typically require reporting to the physician in the context of Guillain-Barre Syndrome.
Correct Answer is B
Explanation
Choice A Rationale: Notifying the physician may be necessary if troubleshooting the issue does not resolve the problem, but it is not the initial step.
Choice B Rationale: The nurse should first check the tubing of the indwelling urinary catheter for any kinks, twists, or obstructions that might prevent the urine flow. This is a simple and non-invasive intervention that can resolve the problem quickly and easily.
Choice C Rationale: Removing the indwelling catheter is not advisable without proper assessment and intervention, as it can lead to complications.
Choice D Rationale: Replacing the indwelling catheter is not the first step and should only be done if the problem cannot be resolved through assessment and interventions.
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