A nurse is providing teaching to a client with Meniere's disease. The nurse recognizes that which of the following instructions should be given to the client regarding vertigo?

Report dizziness at once.

Get up slowly, turning the entire body.

Drive in daylight hours only.

Change your position using the logroll technique.

Answer and Explanation

The Correct Answer is B

A. While reporting dizziness is important, it does not directly aid in managing vertigo episodes.
B. Instructing the client to get up slowly while turning their entire body helps to reduce vertigo symptoms by minimizing head movement, which can trigger or worsen dizziness in Meniere’s disease.
C. Driving is not recommended during symptomatic periods of vertigo, as it could be unsafe.
D. The logroll technique is typically used for clients with spinal issues rather than vertigo management in Meniere’s disease.

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Correct Answer is {"dropdown-group-1":"E","dropdown-group-2":"A","dropdown-group-3":"E"}

Explanation

The nurse is assessing the client post-op and notes the client is complaining of tingling of the fingertips and assesses for Target 1: Chvostek sign; the nurse is aware if positive, the client likely has Target 2: hypocalcemia related to Target 3: disruption or removal of the parathyroid during surgery.

Rationale:

Target 1: Chvostek sign - This is a clinical sign used to assess for neuromuscular excitability due to hypocalcemia. A positive Chvostek sign, which involves twitching of the facial muscles when tapping the facial nerve, indicates low calcium levels.
Target 2: Hypocalcemia - The tingling sensation in the fingertips can be a symptom of hypocalcemia, which is a common complication following thyroidectomy due to potential damage or removal of the parathyroid glands.
Target 3: Disruption or removal of the parathyroid during surgery - Parathyroid glands regulate calcium levels in the body. If these glands are disrupted or removed during thyroid surgery, it can lead to hypocalcemia.

A. "The pool water has chlorine that is killing all of the good bacteria." B. "The pool water is entering your Eustachian tubes." C. "The pool water has microorganisms that are entering your ears." D. "The pool water is drying out your ears, causing skin breakdown."

Correct Answer is C

Explanation

A. While chlorine can kill some bacteria, it does not prevent all microbial growth and does not directly explain ear infections.
B. Pool water entering the Eustachian tubes is unlikely; infections are more commonly related to pathogens in the water.
C. The best response addresses the presence of microorganisms in pool water that can enter the ear and potentially lead to infections, such as swimmer's ear (otitis externa).
D. Pool water is not typically associated with drying out the ears; rather, it can lead to excess moisture, which can promote bacterial growth.

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A nurse is providing teaching to a client with Meniere's disease. The nurse recognizes that which of the following instructions should be given to the client regarding vertigo?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is {"dropdown-group-1":"E","dropdown-group-2":"A","dropdown-group-3":"E"}

Explanation

A client who swims several times a week asks the nurse, "Why are ears prone to frequent infection?" What is the nurse's best response?

Correct Answer is C

Explanation

A nurse is assessing a client diagnosed with diabetes insipidus. The nurse should expect which of the following assessment findings?

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A nurse is caring for a client with Adrenal Cortex Hyperfunction. The nurse is aware that the client is at risk for which of the following?

A nurse is discussing discharge instructions to a client with a lumbar herniated disk and is prescribed a conservative treatment. The nurse provides instructions based on this treatment plan and suggests which of the following.

A nurse is caring for a client who has a mild traumatic brain injury (TBI). Which of the following manifestations should the nurse immediately report to the provider?

A nurse is caring for a client who is postoperative following a subtotal thyroidectomy. The nurse assesses for the presence of Chvostek's sign to indicate which of the following electrolyte imbalances?