A nurse is caring for a client who has Ménière’s disease. When asked by the client if he is allowed to ambulate independently, which of the following responses should the nurse make?
"You are free to move around your room as you wish, but you should avoid the hallways."
"You are on strict bed rest and must not be up."
"Please call for assistance when you wish to get out of bed."
"Why would we not allow you to walk if you wanted?"
The Correct Answer is C
Choice A reason: Allowing the client to move around the room unsupervised can lead to falls, as Ménière’s disease can cause sudden episodes of vertigo and imbalance.
Choice B reason: Strict bed rest is usually not required for clients with Ménière’s disease. Encouraging mobility with assistance is typically more appropriate.
Choice C reason: Asking the client to call for assistance helps prevent falls and ensures the client's safety. Ménière’s disease often causes vertigo, and assistance is necessary to prevent injuries.
Choice D reason: This response does not address the client's safety concerns and may lead to misunderstanding the risks associated with ambulation in Ménière’s disease.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Taking a laxative the day before an IVP is a common preparation to clear the intestines for better imaging. This statement does not require additional data collection.
Choice B reason: The correct answer is b because taking metformin before an IVP can increase the risk of lactic acidosis, a serious complication. Metformin should be temporarily discontinued before and after the procedure, and the nurse should gather more information to manage the client’s diabetes safely.
Choice C reason: Fasting before an IVP is standard procedure to ensure clear imaging. This statement does not require additional data collection.
Choice D reason: Painful voiding may be related to kidney stones but is not a contraindication for an IVP. This statement does not require additional data collection.
Correct Answer is B
Explanation
Choice A reason: Resting before meals helps reduce fatigue and ensures that the client has the energy to eat, which is important for maintaining nutrition in COPD patients.
Choice B reason: The correct answer is b because drinking plenty of beverages with meals can cause the client to feel full too quickly, reducing their intake of nutrient-dense foods. It is better to drink fluids between meals to ensure adequate nutrition.
Choice C reason: Eating five or six small meals each day helps prevent overeating and reduces the work of breathing, making it easier for COPD clients to maintain adequate nutrition without feeling overly full or short of breath.
Choice D reason: Increasing protein intake is important for COPD clients to maintain muscle mass and strength, which are crucial for respiratory function and overall health.
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