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 C

Explanation

a) "Cochlear implants cannot enable you to discriminate speech." Cochlear implants improve the ability to hear and discriminate speech, especially in individuals with severe to profound hearing loss. The statement is inaccurate.
b) "Complications of cochlear implant are often disabling." While cochlear implants may have risks such as infection or device failure, these complications are typically not disabling and can often be addressed with medical intervention.
c) "Results vary from minimal to excellent improvement in hearing." The effectiveness of cochlear implants varies from patient to patient. Some individuals experience significant improvement in hearing and speech discrimination, while others may have minimal benefits, depending on factors such as age, duration of deafness, and overall health.
d) "This procedure restores perfect hearing in 99% of patients." Cochlear implants do not restore perfect hearing. While they can significantly improve hearing in many cases, the degree of improvement varies, and not all patients achieve perfect hearing.

A. "I should call the clinic before taking any over-the-counter medications." B. "Every two years I will need to have my vision checked by an eye doctor." C. "If I forget to take my eye drops, I should wait until the next time they are due." D. "When my vision improves, I will be able to stop taking the eye drops."

Correct Answer is A

Explanation

a) "I should call the clinic before taking any over-the-counter medications.": Over-the-counter medications, especially decongestants and antihistamines, can increase intraocular pressure and should be used with caution in glaucoma patients.
b) "Every two years I will need to have my vision checked by an eye doctor.": This is incorrect because glaucoma patients need more frequent eye exams, typically every 6 to 12 months.
c) "If I forget to take my eye drops, I should wait until the next time they are due.": The client should take the missed dose as soon as remembered, unless it is close to the next scheduled dose. Waiting could result in elevated intraocular pressure.
d) "When my vision improves, I will be able to stop taking the eye drops.": Vision may not improve with glaucoma treatment, and medications should be taken consistently to manage intraocular pressure, even if symptoms are controlled.

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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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