A nurse is caring for a client who has Meniere’s disease. The nurse identifies that which of the following manifestations is caused by an excessive accumulation of endolymph fluid?

Myopia

Vertigo

Photophobia

Presbycusis

Answer and Explanation

The Correct Answer is B

A. Myopia: Myopia refers to nearsightedness, which is caused by refractive errors in the eye and is not associated with Meniere's disease. Myopia results in difficulty seeing distant objects clearly.

B. Vertigo: Vertigo is a hallmark symptom of Meniere's disease and is caused by an excessive accumulation of endolymph fluid in the inner ear. Vertigo presents as a sensation of spinning or dizziness, often accompanied by nausea, vomiting, and imbalance.

C. Photophobia: Photophobia refers to sensitivity to light, which can be associated with various eye conditions but is not a typical manifestation of Meniere's disease. Photophobia may occur in conditions such as migraine headaches or certain eye infections.

D. Presbycusis: Presbycusis refers to age-related hearing loss, which typically occurs gradually over time and is not directly associated with Meniere's disease. Meniere's disease is characterized by sudden episodes of vertigo, hearing loss, tinnitus, and a sensation of fullness or pressure in the ear.

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Correct Answer is C

Explanation

Answer: C

Rationale:

A) "I'm glad that I can work remotely from my computer. Prolonged use of a computer can strain the eyes, potentially interfering with the healing process after a retinal reattachment procedure. Clients are generally advised to limit screen time during recovery.

B) "I can't wait to be able to take a bath. Submerging the face in water, as during a bath, is discouraged postoperatively due to the risk of introducing bacteria into the eye and delaying healing. Clients are advised to stick to showers and avoid getting the affected eye wet.

C) "I get bored only being able to watch television. Watching television is usually permissible following retinal surgery, as it does not strain the eye excessively. This statement aligns with typical postoperative instructions.

D) "I will be relieved once I can drive myself to the store." Driving is contraindicated during the recovery phase due to potential visual disturbances and the need for the eye to heal properly. Clients are typically instructed to avoid driving until cleared by their ophthalmologist.

A. Muscular aches in the leg B. Profound fatigue C. Severe headache D. Ringing in the ears

Correct Answer is B

Explanation

A. Muscular aches in the leg: Muscular aches in the leg are not typically indicative of an impending cardiac arrest. While leg pain or cramping can be associated with peripheral vascular disease or venous insufficiency, they are not specific signs of cardiac arrest.

B. Profound fatigue: Profound fatigue can be a warning sign of an impending cardiac arrest. Fatigue or weakness can result from inadequate blood flow to the heart muscle, which may occur prior to a cardiac event. Additionally, systemic effects of cardiovascular compromise can lead to generalized weakness and fatigue.

C. Severe headache: While severe headache can be associated with conditions such as hypertension or intracranial bleeding, it is not a typical manifestation of an impending cardiac arrest. Headaches may occur as a result of stress or anxiety related to the cardiac event, but they are not a direct warning sign of impending cardiac arrest.

D. Ringing in the ears: Ringing in the ears, also known as tinnitus, is not typically associated with an impending cardiac arrest. Tinnitus can result from various factors such as noise exposure, ear infections, or certain medications, but it is not considered a warning sign of impending cardiac arrest.

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A nurse is caring for a client who has Meniere’s disease. The nurse identifies that which of the following manifestations is caused by an excessive accumulation of endolymph fluid?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is evaluating the plan of care during a postoperative visit for a client who had a retinal reattachment procedure. Which of the following statements indicates the client is following the instructions in the plan of care?

Correct Answer is C

Explanation

A nurse is providing teaching to a client about recognizing manifestations of an impending cardiac arrest. Which of the following manifestations should the nurse include in the teaching?

Correct Answer is B

Explanation

A nurse is providing care to a client who has spent several weeks in the intensive care unit because of complications related to shock. What adverse psychological outcomes should the nurse educate the client about prior to transfer to the medical unit?

A nurse is providing teaching to a client who has atrial fibrillation and reports dizziness and palpitations. Which of the following should the nurse understand is the cause of these manifestations?

A nurse and a newly licensed nurse are providing care for a client who has distributive shock. How should the nurse explain the pathophysiology of distributive shock to the newly licensed nurse?

A nurse is collecting data from a client related to changes in vision. Which of the following statements indicates that the client might be developing a cataract?

A nurse is planning care for a client who has peripheral venous disease. Which of the following interventions should the nurse include in the plan of care? (Select All that Apply.)

A nurse is teaching a group of clients about the specific types of fluids that protect the structures of the inner ear. Which of the following statements should the nurse include in the teaching?

A nurse is assessing a client who is experiencing an episode of tinnitus. Which of the following statements from the client indicates that the tinnitus might be affecting their well-being?

A nurse is planning care for a client who has a severe traumatic brain injury (TBI). Which of the following should the nurse include in the plan of care? (Select All that Apply.)