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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
a) Hypertension: Pseudoephedrine is a sympathomimetic drug that can cause vasoconstriction, leading to increased blood pressure. Clients with hypertension are at higher risk for complications such as increased blood pressure, stroke, or other cardiovascular events.
b) Overweight: While being overweight may contribute to other health concerns, it does not specifically interact with pseudoephedrine in a way that places the client at risk for harm.
c) Eczema: Eczema, a skin condition, does not directly interact with pseudoephedrine and is not a contraindication for its use.
d) Migraine headaches: Although migraine sufferers may be sensitive to certain medications, pseudoephedrine does not pose a direct risk to clients with migraines. However, caution may be needed for any individual who is sensitive to changes in blood pressure.
Correct Answer is B
Explanation
a) "I expect to have moderately severe pain for 1-2 days." Pain after cataract surgery is usually mild to moderate and typically improves significantly within a few hours to a day. Severe pain should be reported to the healthcare provider.
b) "I will take a stool softener until my eye is healed." This statement reflects appropriate teaching, as stool softeners are commonly used after eye surgery to avoid straining during bowel movements, which could increase intraocular pressure.
c) "I will refrain from cooking for 1 week." There is usually no need to refrain from activities like cooking unless the patient experiences significant discomfort or difficulty. Resting and avoiding strenuous activities are more common recommendations.
d) "I will bend at the waist to tie my shoes." Bending at the waist can increase intraocular pressure, which is contraindicated after cataract surgery. The client should be instructed to bend at the knees instead.
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