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 B
Explanation
A. An HbA1c of 8.5% indicates poor glycemic control and higher average blood glucose levels over the past 2 to 3 months. This value is above the recommended target for most individuals with diabetes.
B. An HbA1c of 6.3% reflects good glucose control and is generally within the target range for many individuals with diabetes, typically aiming for below 7%.
C. An HbA1c of 7.8% indicates that the client’s glucose levels are higher than the recommended target but not as poor as 8.5%. It suggests that glucose control could be improved.
D. An HbA1c of 10% is indicative of very poor glucose control and requires significant adjustment in diabetes management.
Correct Answer is B
Explanation
A. Polyphagia (excessive hunger) is typically associated with diabetes mellitus, not diabetes insipidus. Diabetes insipidus primarily affects fluid balance rather than blood sugar levels.
B. Dehydration is a common finding in diabetes insipidus due to the inability to concentrate urine, leading to excessive fluid loss and potential dehydration.
C. Hyperglycemia is associated with diabetes mellitus rather than diabetes insipidus. Diabetes insipidus does not directly affect blood glucose levels.
D. Bradycardia (slow heart rate) is not a typical finding in diabetes insipidus. The primary concern in diabetes insipidus is fluid imbalance rather than heart rate issues.
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