A patient was recently diagnosed as having Bell palsy. Which nursing intervention is most important for the nurse to include in the patient's care plan?
a. Administer pain medication as needed.
b. Administer artificial tears and aclyclovir.
c. Implement aspiration precautions.
d. Offer the patient a small fan to cool the face.
B
Treatment consists of closing and patching the eye if it loses the blink reflex. Artificial tear eye-drops also are used to prevent dryness of the cornea. Corticosteroids are given if they can be started right after the beginning of symptoms. They are ineffective if delayed more than 7 days. Acyclovir may be prescribed as well, since herpes virus may be a causative organism. Bell palsy is usually a painless condition. Bell palsy does not pose a particular risk for aspirations. Cool air may trigger or exacerbate Bell palsy.
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