TEST QUESTION: Bell’s Palsy

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TODAY’S TEST QUESTION:


CORRECT ANSWER: 

A) It is rarely bilateral


MORE INFO:

  • Individuals who develop bell’s palsy usually have facial paralysis.
  • It involves inflammation, damage, and or trauma to the 7th cranial nerve; the facial nerve (not the trigeminal nerve).
  • This nerve is responsible for facial movements.
  • It is thought that bell’s palsy is potentially caused by a virus.
  • Bell’s palsy doesn’t usually involve other systemic symptoms such as dizziness and confusion.
  • There are no specific lab tests for dx, although ruling out things like a stroke-is important.
  • Bell’s palsy is usually confined to the face, whereas with stroke-you might see unilateral extremity weakness and or gait disturbances.
  • The majority of patients have a complete resolution of their symptoms (90%) (usually 3 weeks but can last for months).
  • Steroids, eye drops, eye protection (some can’t close eyes) are key to treatment.
  • Antivirals are sometimes used.

Sample Quiz–NCLEX Medications:

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1.
A patient has just been prescribed Metronidazole (Flagyl). Which of the following statements would indicate a need for further teaching?

 
 
 
 
2. A patient is very confused. Labs are drawn. One of their lab levels is significantly elevated. In response, lactulose is ordered to treat this lab level. What diagnosis is lactulose most likely being given for and what lab level will be lowered after administration of lactulose?
 
 
 
 
3. A patient takes an inhaled corticosteroid for asthma and does not rinse their mouth out after using this medicine. What is the most likely complication?
 
 
 
 
4. A patient just had their Dilantin level checked and it is at 34. The next dose is now due. What is the next action the nurse should take?
 
 
 
 
5. A patient stops their metoprolol 4 days ago. Generally beta blockers should have a gradual taper down. What may likely happen with abrupt discontinuation?
 
 
 
 

 

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DISCLAIMER: The information posted is not intended to be medical advice. This is for educational purposes only. This information is intended for medical professionals & students. Check with your primary care provider if you have any questions regarding your health. This is not intended to guide in medical decisions or treatment in any way. As always, medical professionals should call the on call provider if any clarifications are needed. This is not intended to guide or direct medical decisions, treatment choices, and or interventions. State and hospital protocols should always be followed accordingly. Med Made Ez (MME) disclaims any liability for the decisions you make based on this information.

REFERENCES:

https://www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Fact-Sheets/Bells-Palsy-Fact-Sheet

Photo credit: wikimedia Author: James Heilman. Creative Common Attribution. Identifiable person consented to publication of this photo and this was shared by author with Creative Common Attribution.

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