A patient presents with a left-sided facial droop. On further testing, you note that he is unable to wrinkle his forehead on the left and has decreased taste. Which of the following is true?
A) This represents a central lesion.
B) This represents a CN IV lesion.
C) This may be related to travel.
D) This most likely represents a stroke.
C) This may be related to travel.
Because the forehead is also involved, this represents a peripheral nerve lesion of CN VII and does not represent a classic middle cerebral artery stroke. The latter would spare the upper face but include speech difficulties as well as upper extremity weakness on the ipsilateral side. One cause of this type of lesion is Lyme disease and relates to travel to endemic areas, so a careful travel history should be sought.
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What elements make up the nursing process? Select all that apply
1. Planning 2. Diagnosis 3. Evaluation 4. Assessment 5. Communication
A patient who received an oral dose of procainamide immediate release an hour ago at 9:00 a.m. is now prescribed to receive an oral dose of disopyramide. When is the earliest you should give the disopyramide?
a. Immediately b. 12:00 noon c. 3:00 p.m. d. 9:00 p.m.
Parents of a child recently diagnosed with Down syndrome relate to the nurse that they "feel guilty about causing the condition." The best response by the nurse is
1. "Down syndrome is a conditioncaused by an extra chromosome;the cause of it is unknown." 2. "Down syndrome is a condition thatis genetically transmitted from both the father and the mother.""Down syndrome is a condition thatis carried on the X chromosome,so it came from the mother." 4. "Down syndrome is caused by birthtrauma,not by genetics."
The student nurse sits down to plan goals for the future. Which goal would the nurse identify as a long-term goal?
a. Study every night from 8 to 10 p.m. b. Find a babysitter for clinical days c. Dress professionally for clinical d. Specialize in care of sick newborns