Nokea
A nurse is caring for a client who has a new diagnosis of Bell's palsy. Which of the following findings should the nurse expect?
- A. Facial drooping
- B. Weight gain
- C. Bradycardia
- D. Hypotension
Correct Answer: A
Rationale: Facial drooping, typically unilateral, is a hallmark symptom of Bell's palsy due to facial nerve paralysis.
You may also like to solve these questions
A nurse overhears two assistive personnel (AP) in the nurses' station discussing a client who was recently admitted. Which of the following actions should the nurse take?
- A. Tell the APs to stop the conversation.
- B. Document the event in the client's progress notes.
- C. Inform the client of the APs' actions.
- D. Submit an incident report to the risk manager.
Correct Answer: A
Rationale: Telling the APs to stop the conversation is correct. Discussing client information in a public area violates HIPAA (Health Insurance Portability and Accountability Act) privacy regulations. The nurse should immediately intervene and remind the APs about maintaining client confidentiality.
A nurse is reinforcing teaching with a client who is scheduled for a DEXA scan. Which of the following instructions should the nurse include?
- A. Fast for 12 hours before the scan.
- B. Avoid calcium supplements for 24 hours before the scan.
- C. Wear loose-fitting clothing.
- D. Expect to receive contrast dye during the scan.
Correct Answer: C
Rationale: Wearing loose-fitting clothing ensures comfort and facilitates the DEXA scan, which measures bone density.
A nurse is reinforcing teaching with a client who is scheduled for a lumbar puncture. Which of the following instructions should the nurse include?
- A. Avoid eating after midnight before the procedure.
- B. Lie flat for 4 to 6 hours after the procedure.
- C. Expect general anesthesia during the procedure.
- D. Avoid drinking fluids for 12 hours before the procedure.
Correct Answer: B
Rationale: Lying flat for 4 to 6 hours after a lumbar puncture prevents cerebrospinal fluid leakage and reduces headache risk.
A nurse is caring for a client who has a new diagnosis of gout. Which of the following dietary recommendations should the nurse make?
- A. Limit purine-rich foods.
- B. Increase dairy intake.
- C. Avoid whole grains.
- D. Reduce fluid intake.
Correct Answer: A
Rationale: Limiting purine-rich foods, like red meat and shellfish, reduces uric acid production, helping manage gout.
A nurse is reinforcing teaching with a client who has a new prescription for a fluticasone inhaler. Which of the following instructions should the nurse include?
- A. Use it as needed for shortness of breath.
- B. Rinse your mouth after use.
- C. Take it once daily.
- D. Shake the inhaler before use.
Correct Answer: B
Rationale: Rinsing the mouth after using a fluticasone inhaler prevents oral thrush, a common side effect of inhaled corticosteroids.