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."

Answer and Explanation

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.

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Correct Answer is A

Explanation

A. Postmenopausal bleeding is a common symptom of endometrial cancer and is often one of the first signs reported by clients. It is important for the nurse to identify this symptom as it is a key indicator of potential malignancy in the endometrial lining.

B. Extreme abdominal pain with intercourse is more commonly associated with pelvic inflammatory disease or other gynecological issues rather than endometrial cancer specifically.

C. Green, malodorous vaginal discharge is more indicative of an infection, such as bacterial vaginosis or trichomoniasis, rather than endometrial cancer.

D. Unilateral swelling on the posterior of the vulva may indicate issues such as a Bartholin's gland cyst or other localized conditions, but it is not a typical manifestation of endometrial cancer.

A. "Your pain will gradually become less severe." B. "It's likely that you will have only a tingling sensation." C. "Phantom pain is mostly psychological." D. "The pain will disappear soon."

Correct Answer is A

Explanation

A. Pain management is crucial after amputation, and the client should be informed that postoperative pain may gradually decrease, though some level of discomfort can persist.
B. A tingling sensation is not always expected, and the client should be prepared for a range of sensations postoperatively, including phantom pain.
C. Phantom pain is a real phenomenon experienced by many individuals following an amputation; it is not purely psychological.
D. Pain management strategies should be discussed, and the client should be aware that pain may not disappear immediately and may require ongoing management.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a middle adult client who has just received the diagnosis of endometrial cancer. In taking a nursing history, which of the following manifestations is likely to be reported by this client?

Correct Answer is A

Explanation

A nurse is caring for a client who has a severe gangrenous infection of the right lower extremity. The nurse should plan preoperative teaching based on the possibility of which of the following amputation procedures?

Correct Answer is A

Explanation

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