A nurse is caring for four clients.
Which of the following clients should the nurse identify as at risk for inner ear inflammation?

Choice A rationale

Recent exposure to tuberculosis is the priority for the nurse to address because tuberculosis is a contagious and potentially serious infectious disease. Addressing this first helps prevent the spread of infection to other clients and healthcare staff.

Choice B rationale

While a history of generalized anxiety disorder is important, it is not the immediate priority compared to a contagious disease like tuberculosis. Anxiety can be managed with ongoing care and support.

Choice C rationale

Nocturia is a condition characterized by frequent urination at night and can indicate underlying health issues, but it is not an immediate priority compared to tuberculosis exposure.

Choice D rationale

Periodic migraine headaches can be debilitating and require management, but they do not pose an immediate risk to others like tuberculosis exposure does.

Choice A rationale

Clients with an ileostomy will not have normal bowel movements, as the stool is typically liquid or pasty. This statement reflects a lack of understanding of the ileostomy and indicates denial.

Choice B rationale

This statement reflects a sense of loss and difficulty adjusting to the changes in body image and sexual function, indicating poor acceptance of the ileostomy.

Choice C rationale

Having a partner empty the bag to avoid looking at it suggests avoidance and denial rather than acceptance of the ileostomy.

Choice D rationale

Attending a support group to handle difficulties reflects a proactive approach to coping with the changes brought by the ileostomy, indicating acceptance and adjustment.