Mary Jones, 85 years old, has had a cerebrovascular accident (CVA). Which of the following findings on physical examination would indicate a CVA?

a. Ptosis of both eyelids
b. Facial droop
c. Forward flexion of the neck
d. Facial edema


B
Facial drooping or asymmetry is a classic abnormal finding on a physical examination that may be associated with a CVA. Ptosis of the eyelids is a normal aging change and is not considered abnormal unless it interferes with vision. Forward flexion of the neck is a normal result of spinal kyphosis. Facial edema is an abnormal finding that could be related to cortisone use, allergic reactions, renal failure, hormonal imbalance, or congestive heart failure.

Nursing

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