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

Pain behind the ear

Muscle distortion

Facial twitching

Impaired taste

Hearing loss

Answer and Explanation

Correct Answer : A,B,D

A. Pain behind the ear is a common early symptom of Bell's palsy due to inflammation of the facial nerve.
B. Muscle distortion occurs as the facial muscles on the affected side weaken or become paralyzed, leading to an asymmetrical appearance.
C. Facial twitching is not a common manifestation of Bell's palsy; rather, it involves muscle paralysis or weakness.
D. Impaired taste, especially in the anterior two-thirds of the tongue, can occur due to facial nerve involvement.
E. Hearing loss is not typically associated with Bell's palsy; it usually affects facial motor function, not auditory function.

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Correct Answer is ["B","C"]

Explanation

A. Clients with a basilar skull fracture may experience confusion or memory loss regarding the injury, making them unable to recall how it occurred.
B. Pooling of blood around the eyes, known as "raccoon eyes," is a common sign of a basilar skull fracture.
C. Bruising over the mastoid process (Battle's sign) is another classic sign of a basilar skull fracture, indicating trauma to the base of the skull.
D. Chvostek's sign is associated with hypocalcemia, not basilar skull fractures.

A. "Managing my cholesterol will reduce my chances of having a stroke." B. "Using oral contraceptives provides me with protection from a stroke." C. "My blood pressure needs to stay a little elevated for good blood flow to my brain." D. "I can safely have up to 3 alcoholic drinks a day."

Correct Answer is A

Explanation

A. Managing cholesterol levels is crucial as high cholesterol can lead to plaque buildup in the arteries, increasing the risk of stroke.
B. Using oral contraceptives can actually increase the risk of stroke, especially in women who smoke or have other risk factors.
C. Maintaining a normal blood pressure is essential; elevated blood pressure can lead to increased risk of stroke, not good blood flow.
D. While moderate alcohol consumption may have some benefits, the general recommendation is to limit intake to reduce stroke risk; therefore, stating that up to 3 drinks a day is safe is misleading.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse has received report on a client who has a basilar skull fracture. Which of the following findings should the nurse anticipate with this client?

Correct Answer is ["B","C"]

Explanation

A nurse is reinforcing teaching to a female client who has risk factors for stroke. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is A

Explanation

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