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?
"Please ring for assistance when you wish to get out of bed."
"We will have to get a prescription from your provider."
"Yes, you are free to move around as you wish."
"No, you are on strict bedrest and must not be up."
The Correct Answer is A
A. Clients with Ménière's disease may experience dizziness and balance issues, so it is important to ensure safety by asking them to ring for assistance when moving around to prevent falls or injuries.
B. A prescription from the provider is not typically required for ambulation; instead, safety measures should be in place.
C. Allowing free movement without assistance may increase the risk of falls due to balance problems associated with Ménière's disease.
D. Strict bedrest is generally not necessary unless specifically indicated by the provider; assistance and safety measures are more appropriate.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Serum creatinine is a specific marker of renal function and provides an accurate assessment of kidney function, making it the best indicator for evaluating renal health in clients with SLE.
B. Urine-specific gravity indicates the concentration of urine but does not directly assess renal function.
C. Blood urea nitrogen (BUN) can indicate renal function but is less specific than serum creatinine and can be influenced by other factors like hydration status.
D. Serum sodium levels are not a direct indicator of renal function; they are more related to fluid balance and electrolyte status.
Correct Answer is A
Explanation
A. Regular insulin is used in the treatment of diabetic ketoacidosis (DKA) due to its rapid onset and ability to lower blood glucose levels quickly. It is administered intravenously for immediate effect.
B. NPH insulin is an intermediate-acting insulin and is not appropriate for the rapid correction needed in DKA.
C. Insulin detemir is a long-acting insulin used for basal insulin control, not suitable for acute DKA treatment.
D. Insulin glargine is a long-acting insulin, which would not be used in the acute setting of DKA where rapid control of blood glucose is required.
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