A nurse is caring for the client who has Ménière's disease and asks if he is allowed to ambulate independently. Which of the following responses should the nurse make?
"Yes, you are free to move around as you wish."
"We will have to get a prescription from your provider.
"No, you are on strict bedrest and must not be up."
"Please ring for assistance when you wish to get out of bed."
The Correct Answer is D
A. Allowing free movement could increase the risk of falls due to dizziness.
B. While involving the provider is important, immediate safety measures should be communicated directly.
C. Strict bedrest is not typically necessary, and movement can help prevent complications like blood clots.
D. Assisting the client when they wish to get out of bed ensures safety by preventing falls, which are a significant risk for those with Ménière's disease due to vertigo.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. Removing the nasal cannula while the client eats can interrupt oxygen therapy.
B. Attaching a humidifier bottle to the base of the flow meter helps to humidify the oxygen, preventing dryness and irritation of the nasal passages, which is appropriate for oxygen flow rates above 4 L/min.
C. Applying petroleum jelly to the nares can pose a fire hazard due to its petroleum base.
D. Securing the oxygen tubing to the bed sheet is not necessary and does not ensure the proper administration of oxygen.
Correct Answer is A
Explanation
A. Daily antihistamines can help control itching associated with atopic dermatitis.
B. Solid carbon dioxide is not used to treat atopic dermatitis.
C. Mouth cleansing is not relevant for atopic dermatitis, which primarily affects the skin.
D. Antibiotics are not typically used for atopic dermatitis unless there is a secondary bacterial infection.
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