A client experiences residual effects following an acute attack of Ménière's disease and receives a new prescription for an antihistamine. Which assessment finding indicates that the medication is effective?

Blood pressure of 120/80 mm Hg.

Oxygen saturation level of 99%

Headache rated at 0 on 0 to 10 scale.

Ambulates easily without vertigo

Answer and Explanation

The Correct Answer is D

A.   This assessment finding may be within the normal range for blood pressure, but it does not directly indicate the effectiveness of the antihistamine medication for Ménière's disease. Antihistamines are not typically prescribed to directly affect blood pressure.
B.   While maintaining adequate oxygen saturation is important for overall health, this finding is not specific to the management of Ménière's disease with antihistamine medication. Antihistamines are not typically prescribed to directly affect oxygen saturation levels. Therefore, this finding may not directly indicate the effectiveness of the medication for Ménière's disease.
C.   Headache rated at 0 on a 0 to 10 scale is not specific to vertigo.
D.   Ambulating easily without vertigo is relevant for assessing the effectiveness of the antihistamine medication for Ménière's disease. Vertigo, characterized by a sensation of spinning or dizziness, is a hallmark symptom of Ménière's disease.

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Correct Answer is D

Explanation

A. Releasing traction to use a bedpan may cause pain and discomfort to the client and risk exacerbating the fracture or compromising the alignment needed for surgery.
B. Log rolling the client and placing adult disposable briefs beneath them may not be suitable because it involves movement that can disrupt traction and worsen the client's pain.
Additionally, disposable briefs may not adequately manage urinary output, especially for a client awaiting surgery.

C.While using a catheter can be an option, it is generally not the first intervention unless the client is unable to void by other means or has a specific indication for catheterization. It carries risks, including infection, and should be considered carefully.
D. The nurse can assist the client in using a urinal while ensuring that traction is maintained. This allows the client to urinate without disrupting the traction setup, minimizing the risk of complications associated with the fracture.

A. Hold the next dose of lactulose. B. Continue the prescribed dose of lactulose. C. Replace total volume voided with oral or IV fluids. D. Report the number of diarrhea stools to the healthcare provider (HCP).

Correct Answer is B

Explanation

B. Lactulose works by acidifying the colonic contents, which promotes the conversion of ammonia (NH3) to ammonium (NH4+). Ammonium is less readily absorbed from the colon into the bloodstream, reducing systemic ammonia levels. This action helps alleviate the neurotoxic effects of ammonia on the brain, thereby improving neurological symptoms associated with hepatic encephalopathy.
A. Lactulose is required in clients with hepatic encephalopathy to excrete ammonia lowering its levels in blood. Holding the lactulose dose is inappropriate as the client’s ammonia levels are still high
C. Rehydrating the clients to replace lost fluids in the loose stools is important but does not address
the client’s elevated ammonia levels which may be exacerbating the client’s encephalopathy.
D. Reporting the number of diarrhea stools to the healthcare provider is important for ongoing assessment and management of the client's condition. However, it does not address the clients high ammonia levels.

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A client experiences residual effects following an acute attack of Ménière's disease and receives a new prescription for an antihistamine. Which assessment finding indicates that the medication is effective?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client who fractured the right femur from a fall at home is placed in traction while awaiting surgery. When the client informs the nurse of the need to urinate, which intervention should the nurse implement?

Correct Answer is D

Explanation

Correct Answer is B

Explanation

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A client who had a biliopancreatic diversion procedure (BDP) 3 months ago is admitted with severe dehydration. Which assessment finding warrants immediate intervention by the nurse?

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A client experiences residual effects following an acute attack of Ménière's disease and receives a new prescription for an antihistamine. Which assessment finding indicates that the medication is effective?

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