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) Urinary retention: Pilocarpine, a cholinergic agent, promotes bladder contraction rather than causing retention.
b) Hypertension: Pilocarpine is more likely to cause hypotension.
c) Diarrhea: A parasympathetic effect of pilocarpine is increased gastrointestinal motility, leading to diarrhea.
d) Decreased salivation: Pilocarpine increases salivation.

A. Position the client on the affected side to rest. B. The client should wear dark glasses while outdoors. C. The client should remain in bed for 3 days. D. Feed the client soft foods for several days.

Correct Answer is B

Explanation

a) Position the client on the affected side to rest: This is incorrect. The client should avoid sleeping on the operated side to prevent pressure on the eye and reduce the risk of complications.
b) The client should wear dark glasses while outdoors: Dark glasses should be worn outdoors to protect the eye from bright light and reduce discomfort after cataract surgery.
c) The client should remain in bed for 3 days: This is unnecessary. The client should avoid strenuous activity but does not need to remain bedridden for 3 days.
d) Feed the client soft foods for several days: This is not necessary for cataract surgery recovery. There are no dietary restrictions related to the surgery.

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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

Naxlex Comprehensive Predictor Exams

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