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

Answer and Explanation

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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Correct Answer is C

Explanation

A. Pacemaker spikes with each T wave indicates a malfunctioning pacemaker.
B. Pacemaker spikes before each P wave would indicate atrial pacing, not ventricular pacing.
C. A ventricular pacemaker stimulates the ventricles to contract, so the pacing spike should precede the QRS complex.
D. Pacemaker spikes after each QRS complex would indicate a malfunctioning pacemaker.

A. Increased clotting factors B. Excessive thrombosis and bleeding C. Progressive increase in platelet product D. Immediate sodium and fluid retention

Correct Answer is B

Explanation

A. In DIC, there is actually a consumption of clotting factors rather than an increase. The widespread activation of the clotting cascade leads to the consumption of clotting factors and platelets as they are used up in forming numerous small blood clots throughout the body. This depletion results in a paradoxical bleeding tendency due to a shortage of clotting factors.
B. This is characteristic of DIC. The condition involves both excessive clotting (thrombosis) and bleeding. The formation of small clots throughout the microcirculation leads to organ damage and depletion of clotting factors and platelets, which in turn causes bleeding tendencies. This dual process of clot formation and bleeding is a hallmark of DIC.
C. In DIC, there is a decrease in platelet count, not an increase. The condition causes widespread clotting, which consumes platelets rapidly, leading to a low platelet count. Therefore, a progressive increase in platelet count would not be expected in DIC.
D. Sodium and fluid retention are not primary features of DIC. Instead, DIC typically presents with symptoms related to clotting and bleeding rather than fluid balance. Fluid retention would be more associated with other conditions like heart failure or renal disorders, not directly with DIC.

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A nurse is assessing a client who has Bell's palsy. Which of the following findings should the nurse expect? (Select all that apply)

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Naxlex Comprehensive Predictor Exams

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