A nurse is caring for a client who has Meniere's disease. Which of the following instructions should the nurse include?
Use large-print books.
Avoid standing on chairs or ladders.
Stay away from flickering lights.
Minimize unnecessary room changes.
The Correct Answer is B
A. Use large-print books: Meniere’s disease primarily affects balance and hearing. Large-print books are not specifically necessary for managing Meniere’s disease, although they may benefit clients with vision impairment.
B. Avoid standing on chairs or ladders: Meniere's disease can cause vertigo, which increases the risk of falls. The nurse should advise the client to avoid activities that could lead to falls, such as standing on chairs or ladders, especially during episodes of vertigo.
C. Stay away from flickering lights: Flickering lights may trigger migraines or seizures in some individuals but are not specifically related to Meniere’s disease, avoiding flickering lights is not a primary focus for managing the disease.
D. Minimize unnecessary room changes: While minimizing sudden movements or changes in the environment can be helpful for maintaining balance, "minimizing unnecessary room changes" is not a key instruction for managing Meniere's disease.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. "The lockout interval prevents me from receiving too much medication.": The lockout interval on a PCA pump ensures that the client cannot administer more medication than is safe within a set period, preventing overdose or over-sedation.
B. "Each time I push the button, I receive the same amount as a morphine injection.": The PCA pump delivers a smaller, controlled dose of morphine each time the button is pressed, rather than the same dose as a traditional injection.
C. "My family can push the button for me on a regular basis.": The client should be the only one pressing the PCA button to prevent overdose and ensure safe administration. Family members should not push the button for the client.
D. "It will take about 30 minutes to feel relief after I push the button.": PCA delivers pain medication on demand, and the client may feel relief within a few minutes, not 30 minutes. Pain relief can be quicker depending on the medication’s action and how it’s delivered.
Correct Answer is C
Explanation
A. Decreased urinary output: Decreased urinary output can occur in heart failure due to reduced kidney perfusion, but it is more commonly associated with left-sided heart failure as it leads to fluid congestion in the lungs and a decreased ability of the kidneys to function effectively.
B. Cool extremities: Cool extremities can occur in heart failure, but they are more commonly seen in left-sided heart failure due to poor circulation from the left ventricle. Right-sided heart failure primarily affects the systemic circulation.
C. Peripheral edema: Peripheral edema is a hallmark sign of right-sided heart failure. The right side of the heart is unable to pump blood efficiently to the lungs, causing blood to back up into the veins and resulting in fluid retention in the lower extremities and other parts of the body.
D. Crackles in the lung fields: Crackles in the lung fields are a characteristic finding in left-sided heart failure, as fluid backs up into the lungs. This is not typically a finding associated with right-sided heart failure, which affects the systemic circulation.
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