A client with Meniere's disease is experiencing severe vertigo. Which instruction should the nurse give to the client to assist in controlling the vertigo?

Increase sodium in the diet

Avoid sudden head movements.

Increase fluid intake to 3000 mL a day.

Lie still and watch the television.

Answer and Explanation

The Correct Answer is B

a) Increase sodium in the diet: A low-sodium diet is often recommended for clients with Meniere's disease to reduce fluid retention and decrease the severity of symptoms.
b) Avoid sudden head movements: Sudden head movements can exacerbate vertigo, so the client should avoid them to help control symptoms.
c) Increase fluid intake to 3000 mL a day: Excessive fluid intake can worsen symptoms in Meniere’s disease by increasing fluid retention in the inner ear.
d) Lie still and watch television: This is not an effective strategy for controlling vertigo. It is more beneficial for the client to rest in a quiet, dark environment to reduce vertigo episodes.

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Correct Answer is D

Explanation

a) Nerve damage from listening to loud music: This would cause sensorineural hearing loss, where sound localizes to the unaffected ear.
b) Blocked ear canal in the right ear: This would not explain louder sound in the left ear.
c) Normal hearing: Sound is perceived equally in both ears.
d) Conductive hearing loss in the left ear: Conductive hearing loss causes sound to localize to the affected ear.

A. Coughing without letting food escape through the tracheostomy B. Taking care of the tracheostomy, because the patient will always have to have one C. Teaching the patient to swallow without aspiration D. Teaching the patient to use an assistive device to speak

Correct Answer is C

Explanation

a) Coughing without letting food escape through the tracheostomy: After supraglottic laryngectomy, the patient may have difficulty swallowing and may require specific techniques to prevent aspiration.
b) Taking care of the tracheostomy, because the patient will always have to have one: While a tracheostomy may be necessary initially, not all patients will need it permanently.
c) Teaching the patient to swallow without aspiration: The loss of the normal anatomy for swallowing after supraglottic laryngectomy puts the patient at risk for aspiration. Rehabilitation and learning proper swallowing techniques are major postoperative concerns.
d) Teaching the patient to use an assistive device to speak: This is also an important consideration, but the primary issue postoperatively is managing swallowing to avoid aspiration.

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A client with Meniere's disease is experiencing severe vertigo. Which instruction should the nurse give to the client to assist in controlling the vertigo?

Nursing Test Bank

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