Nokea
Which sign is the first sign of Bell's palsy?
- A. Inability to wrinkle forehead and pucker lips on affected side
- B. Sudden pain in nostril on affected side
- C. Excessive salivation on the affected side
- D. Excessive mucus running from nostril on affected side
Correct Answer: A
Rationale: Unilateral weakness of the facial muscles usually occurs, resulting in a flaccidity of the affected side of the face with inability to wrinkle the forehead, close the eyelid, pucker the lips, smile, frown, whistle, or retract the mouth on that side. The face appears asymmetric.
You may also like to solve these questions
The nurse is aware that when assessing a patient by the FOUR score coma scale, the patient is assessed in four categories: eye response, brainstem reflexes, motor response, and respiration. In which manner are these results reported?
- A. As a sum of the scores of the four categories
- B. As part of the Glasgow Coma Scale
- C. As individual scores in each category
- D. As progressive scores during a 24-hour period
Correct Answer: C
Rationale: The FOUR score coma scale assesses the patient in four categories: eye response, brainstem reflexes, motor response, and respiration. The scores are reported as individual scores in each category. It is frequently done in conjunction with or as an alternative to the Glasgow Coma Scale, not part of it.
In which way will the nurse instruct a patient with Parkinson disease to improve activity level?
- A. To use a soft mattress to relax the spine.
- B. To walk with a shuffling gait to avoid tripping.
- C. To walk with hands folded behind back to help balance.
- D. To sit in hard chair with arms for posture control.
Correct Answer: C
Rationale: The patient with Parkinson disease can improve the activity level holding the hands folded behind to keep better balance and keep the arms from hanging stiffly at the side. The patient should be sleeping on a firm mattress without a pillow to prevent spinal curvature, Walk with a lifting of the feet to avoid tripping and 'freezing.'
A patient who has experienced a stroke has expressive aphasia. Which abnormal manner of communication does the patient display?
- A. Has difficulty comprehending spoken and written communication.
- B. Cannot make any vocal sounds
- C. Has total loss and understanding of language.
- D. Can understand the spoken word, but cannot speak.
Correct Answer: D
Rationale: The patient with expressive aphasia has difficulty articulating words but can understand the written and spoken word.
For which reason is a 'drug holiday' used in the treatment of Parkinson disease?
- A. Change all drugs.
- B. Allow the natural dopamine levels to rise.
- C. Restart drugs at a lower dosage with favorable results.
- D. Reduce the extrapyramidal symptoms.
Correct Answer: C
Rationale: A 'drug holiday' is a period when all drugs are withdrawn from the person with Parkinson disease. The drugs are then restarted at a lower dose with favorable results.
A patient has recently experienced a stroke with left-sided weakness and has problems with choking, especially when drinking thin liquids. Which nursing interventions would be most helpful in assisting this patient to swallow safely?
- A. Use a straw.
- B. Tuck chin when swallowing.
- C. Take a sip of liquid with each bite.
- D. Turn head to the left.
Correct Answer: B
Rationale: The patient should sit at a 90-degree angle with the head up and chin slightly tucked.