NCLEX Question - Bell's Palsy: correct interventions

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Which of the following nursing interventions are appropriate for a client diagnosed with Bell’s palsy? Select all

that apply

A. Encourage the client to do facial exercises such as wrinkling of the forehead.

B. Remind never to blow out of the cheeks, just like when performing whistle.

C. Eye ointment should applied at daytime but not recommended before going to bed.

D. Encourage to use eye shield specially when going out.

E. Apply local heat opposite to the affected side.

F. Teach client to how to manually close the eyes before going to sleep.

Answer: A, D and F – In Bell’s palsy the client should be encourage to do facial exercises such as wrinkling

of the forehead, blowing out of the cheeks and whistling to prevent muscle atrophy. Exposure to cold is

avoided. Local heat should be applied on the affected side. Protection of the eye from injury is a must. The

yes should be covered with eye shield. Eye ointment is applied on the eyelids at bedtime to promote

adherence of the eyelids and to prevent injury during the sleep. The patient should be taught to manually

close the eyes before going to sleep.