An unusual case of multiple cranial nerve palsies in Wegener's granulomatosis.

We describe an unusual case of Wegener's granulomatosis, which initially caused fulminant palsies affecting cranial nerves II, V, VI, VII, and VIII during a brief episode of the disease. The patient was successfully treated with immunosuppressive therapy. Wegener's granulomatosis should be suspected when multiple cranial nerves are initially affected.

Effect of choices on breathing exercises post-open heart surgery.

Pulmonary complications following open heart surgery are a major cause of morbidity and mortality. Patients, especially pediatric patients, are reluctant to perform postoperative breathing exercises to prevent respiratory complications. This research provides the critical care nurse with a strategy to encourage the children to perform their breathing exercises more willingly.