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 C
Explanation
A. This set shows a low pH, normal HCO3-, and high PaCO2, indicative of respiratory acidosis, not typical for chronic kidney disease.
B. This set shows a high pH, elevated HCO3-, and low PaCO2, indicative of metabolic alkalosis, which is not characteristic of chronic kidney disease.
C. Chronic kidney disease often leads to metabolic acidosis with low pH, low HCO3-, and normal or low PaCO2 as the kidneys fail to excrete acid effectively.
D. This set shows a high pH and low HCO3-, with a near-normal PaCO2, which does not align with the typical metabolic acidosis seen in chronic kidney disease.
Correct Answer is C
Explanation
A. An inverted P wave is not a classic sign of hypokalemia. It can occur due to various other reasons, including atrial abnormalities.
B. An elevated ST segment is more indicative of hyperkalemia or ischemic changes rather than hypokalemia.
C. An abnormally prominent U wave is a common sign of hypokalemia. Hypokalemia can cause changes in the EKG, including the presence of a prominent U wave following the T wave.
D. A wide QRS complex is typically associated with hyperkalemia or bundle branch blocks, not hypokalemia.
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