رجل عمره ٣٨ سنة استيقظ صباحاً وفمه مائل لجهة اليسار، ولا يستطيع إغلاق عينه اليمنى ولا رفع حاجبه الأيمن، وطعم الأكل متغير. ذراعاه ورجلاه وكلامه طبيعية. الضغط ١٢٨/٨٠. أي تدخل تمريضي مهم؟

A 38-year-old man woke with his mouth drooping, unable to close his right eye or raise his right eyebrow, with altered taste. His arms, legs and speech are normal; BP 128/80. Which nursing intervention is important?

1. Pressure on the open eye all day
2. Fluid restriction to reduce swelling
3. Lubricate the eye and tape it shut at night
4. Walking exercises to strengthen both legs

Answer: C) Lubricate the eye and tape it shut at night. Whole-face weakness including the forehead on one side is Bell’s palsy. Incomplete eye closure risks dryness and ulceration, so lubricants and night taping are used; early steroids aid recovery. Facial weakness sparing the forehead suggests stroke.