The nurse is caring for a client with Meniere's disease. What will the nurse recommend for the client to do to reduce symptoms of vertigo?

Blow your nose hard when the dizziness first begins

Lay down and keep your head still

Take salt & potassium supplements daily

Drink at least 6 full glasses of water every day

Answer and Explanation

The Correct Answer is B

A. Blowing your nose hard when the dizziness first begins is not a recommended action for Meniere's disease. Blowing the nose forcefully can increase pressure in the ears and potentially worsen symptoms of vertigo, not alleviate them.
B. Laying down and keep your head still is a recommended strategy for managing vertigo in Meniere's disease. Resting and keeping the head still can help reduce the sensation of spinning or dizziness, providing some relief. Movement can trigger or worsen vertigo, so staying still is an effective way to reduce symptoms.
C. While salt intake is often restricted in Meniere's disease due to its potential to increase fluid retention in the inner ear, potassium supplements are generally not a standard recommendation. Dietary changes should be discussed with a healthcare provider.
D. Hydration is important for overall health, but this is not a specific recommendation for reducing vertigo in Meniere's disease. It may help with general wellness, but it won't directly alleviate the symptoms of vertigo associated with the condition.

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Correct Answer is C

Explanation

A. While the liver is centrally located and plays a significant role in filtering blood, its location alone does not directly explain why it's a common site for metastasis.
B. Portal hypertension refers to increased pressure within the portal vein system, usually due to liver disease, not metastasis.
C. The liver has a dual blood supply from the portal vein and the hepatic artery, which makes it a key organ for filtering blood coming from the digestive tract. This provides a route for cancer cells from the gastrointestinal tract and other organs to travel to the liver, making it a common site for metastasis.
D. Tumor markers are substances that may be found in higher amounts in the blood or tissues of people with cancer. However, they do not directly explain why the liver is a common site for metastasis.

A. Call the blood bark B. Initiate the transfusion C. Take and record the patients vital signs D. Notify the physician

Correct Answer is A

Explanation

A. The first action should be to call the blood bank to report the mismatch in blood type. The patient is A positive, and the blood unit is AB negative, which is not compatible and could lead to a serious transfusion reaction. The blood bank can provide the correct unit of blood.
B. Initiating the transfusion with the wrong blood type is dangerous and could cause a life-threatening reaction.
C. Taking and recording vital signs is important but should only occur after confirming the correct blood product. Starting a transfusion with the wrong blood is a safety hazard.
D. While notifying the physician is important, the immediate action is to contact the blood bank to resolve the blood type mismatch.

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The nurse is caring for a client with Meniere's disease. What will the nurse recommend for the client to do to reduce symptoms of vertigo?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse knows that the liver is a common site for metastasis from other primary cancers due to:

Correct Answer is C

Explanation

The nurse is performing the safety checks prior to initiating a packed red blood cell transfusion for a patient whose blood type is A positive. The nurse observes the unit is AB negative. What is the nurse's best first action?

Correct Answer is A

Explanation

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