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 B

Explanation

A. Pupils round, 2mm and constricting to light is a normal pupil response.
B. Decreasing level of consciousness is a critical sign of deteriorating neurological status and requires immediate medical intervention.
C. Temporal headache is a common symptom after head injury but it is not as urgent as a decreasing level of consciousness.
D. Glasgow coma score of 13 indicates a mild to moderate head injury, but it's a static measurement. A decreasing level of consciousness would indicate worsening condition.

A. Flexion and internal rotation of upper extremities B. Flexion and external rotation of upper extremities C. Extension and internal rotation of upper extremities D. Extension and external rotation of upper extremities

Correct Answer is A

Explanation

A. This description accurately depicts decorticate posturing. The characteristic feature of decorticate posturing is the flexion of the upper extremities (arms) and the extension of the lower extremities (legs). The internal rotation of the legs is often observed in this posture. This pattern is seen in severe brain damage, particularly involving the corticospinal tract.
B. External rotation of the arms is not characteristic of decorticate posturing. In decorticate posturing, the arms are flexed and positioned close to the body, with internal rotation being more typical. Therefore, this option does not accurately describe decorticate posturing.
C. Extension of the arms is more characteristic of decerebrate posturing rather than decorticate posturing. Decerebrate posturing involves the extension of both the arms and legs. Internal rotation of the arms is not a typical feature of decerebrate posturing, so this choice does not describe decorticate posturing.
D. Extension and external rotation of the arms describe decerebrate posturing rather than decorticate posturing. Decerebrate posturing is characterized by the extension of the arms and legs, not flexion. Therefore, this option does not describe decorticate posturing.

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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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