A patient diagnosed with Bell's palsy is being cared for on an outpatient basis. An expected nursing intervention for this patient would be what?
A) Applying a protective eye shield
B) Encourage to eat on affected side
C) Avoid analgesics
D) Avoid brushing teeth
Ans: A
Feedback: Corneal irritation and ulceration may occur if the eye is unprotected. While paralysis lasts, the involved eye must be protected. The patient should be encouraged to eat on the unaffected side, due to swallowing difficulties. Analgesics are used to control the facial pain. The patient should continue to provide self-care including oral hygiene.
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A holistic view of the mind–body relationship is best demonstrated by which of the nurse's comments to a student nurse?
1. "My view is that clients have physical problems that have emotional consequences and psychological issues that cause physical problems." 2. "Psychiatric clients often blame their problems on the side effects of the medications." 3. "Clients come and go so quickly, we can't always complete a thorough physical exam." 4. "We might as well be working on a medical unit. We focus mostly on medication management now."
Which type of nursing diagnosis statement begins with the stem readiness for enhanced and does not include related factors or supporting data?
A) Health promotion B) Syndrome C) Risk D) Actual
When washing your hands, your hands and forearms are kept:
a. Above your elbows b. Lower than your elbows c. Even with your elbows d. Close to your body
A client with an eating disorder that has resulted in weight loss to a point 15% below normal weight tells the nurse, "I don't need to be hospitalized
I can control myself." The nurse continues to prepare the client for hospitalization because the vicious cycle of eating disorder behavior is fueled by: 1. Feelings of power and control resulting from weight loss 2. Dysfunctional family dynamics 3. Faulty use of the defense mechanism projection 4. Lack of superego constraints on behavior