The nurse is completing teaching to a patient with a new diagnosis of Bell palsy. What should be a ...

The answer to question 1

Correct Answer: 1
Eye care should be addressed since manifestations of Bell palsy include paralysis of the upper eyelid with loss of the corneal reflex and increased tearing on the affected side. Chewing, not swallowing, may be difficult due to unilateral paralysis of facial muscles. Pain may precede the onset of facial paralysis but is not an issue during the course of the disease. Upper extremity muscles are not affected.

The answer to question 2

Correct Answer: 1
Sundowning can be decreased by providing quiet activities, such as listening to favorite music in the afternoon or early evening. Downcast eyes and drooping eyelids is not a description of sundowning. Echolalia is the term for frequent repetition of words or phrases. Loss of the ability to perform simple tasks is common to stage 2 of AD.

The answer to question 3

Correct Answer: 1, 5
Parkinson disease begins with subtle manifestations. Patients may complain of feeling tired and may move more slowly. Tremor at rest is usually the first manifestation experienced in PD. Cogwheel rigidity, being frozen, and bilateral involvement are later manifestations of PD.

I know you spent a lot of time finding this because I swear it wasn't in my textbook

You're partially right, it's found midway in the chapter, but not at all easy to find. Good luck with the rest