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 A

Explanation

A. The diagnostic workup for disseminated intravascular coagulation (DIC) typically includes the measurement of D-dimer, fibrinogen, and fibrin degradation products. D-dimer levels are elevated in DIC due to increased fibrin breakdown, and fibrinogen levels are usually decreased due to consumption. Fibrin degradation products (FDPs) are also elevated in DIC and provide evidence of abnormal clotting and fibrinolysis.

B. While a complete blood count (CBC) and platelet count are part of the evaluation of DIC, they are not sufficient on their own to confirm the diagnosis. The prothrombin time (PT) is helpful but does not provide the most specific information regarding fibrinolysis and clot breakdown, which are crucial in diagnosing DIC.

C. While prothrombin time (PT) and D-dimer are useful in the diagnosis of DIC, fibrin level is not a standard test. The focus is generally on fibrinogen and fibrin degradation products (FDPs) rather than fibrin levels.

D. Although fibrin degradation products and a complete blood count are part of the evaluation, lactic acid is not typically a key test in diagnosing DIC. Lactic acid levels may rise in conditions associated with hypoperfusion or shock but do not specifically diagnose DIC.

A. Jugular vein distention and +3 peripheral edema B. Increase in systolic blood pressure 10 mmHg above cents norm C. Complaints of epigastric pain after eating a large meal D. Complaints of dyspnea while completing ADLs

Correct Answer is A

Explanation

A. Jugular vein distention and +3 peripheral edema are signs of right-sided heart failure, which can result from worsening mitral stenosis. As the mitral valve becomes more narrowed, it leads to increased pressure in the left atrium and eventually backs up into the lungs and right side of the heart, causing fluid retention.
B. An increase in systolic blood pressure by 10 mmHg does not directly indicate worsening mitral stenosis. Blood pressure changes can occur for various reasons but are not as specific as signs of heart failure in this context.
C. Complaints of epigastric pain after eating a large meal are typically related to gastrointestinal issues rather than directly indicating worsening mitral stenosis.
D. Complaints of dyspnea while completing activities of daily living (ADLs) can be a sign of worsening mitral stenosis, but the additional signs of jugular vein distention and edema are more definitive indicators of worsening disease.

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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?

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