Which of the following is an appropriate treatment for Meniere’s disease?
Caffeine-rich beverages.
A low-sodium diet.
High-intensity interval training (HIIT).
Prolonged bed rest.
The Correct Answer is B
Choice A Reason:
Caffeine-rich beverages are not recommended for patients with Meniere’s disease. Caffeine can exacerbate symptoms such as vertigo and tinnitus by increasing the fluid pressure in the inner ear. Therefore, avoiding caffeine is generally advised to help manage the condition.
Choice B Reason:
A low-sodium diet is an appropriate treatment for Meniere’s disease. Reducing sodium intake helps decrease fluid retention in the body, including the inner ear, which can alleviate symptoms such as vertigo, tinnitus, and hearing loss. This dietary modification is a cornerstone of managing Meniere’s disease and can significantly improve the patient’s quality of life.
Choice C Reason:
High-intensity interval training (HIIT) is not suitable for patients with Meniere’s disease. Intense physical activity can trigger vertigo attacks and worsen balance issues. Patients are generally advised to engage in moderate, low-impact exercises that do not provoke symptoms.
Choice D Reason:
Prolonged bed rest is not an appropriate treatment for Meniere’s disease. While rest may be necessary during acute vertigo attacks, long-term bed rest can lead to deconditioning and other health issues. It is important for patients to maintain a balance between rest and activity to manage their symptoms effectively.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A Reason:
Diabetes Insipidus (DI) is characterized by excessive urination and thirst due to a deficiency of antidiuretic hormone (ADH) or a renal insensitivity to ADH. Patients with DI typically present with hypernatremia (high serum sodium) and low urine osmolality, which contrasts with the findings of low serum sodium and high urine osmolality in this patient.
Choice B Reason:
Adrenal insufficiency can cause hyponatremia and hyperkalemia due to a deficiency in aldosterone and cortisol. However, it usually presents with low serum osmolality and low urine sodium, which does not align with the patient’s laboratory results of high urine osmolality and elevated urine sodium.
Choice C Reason:
Hyperaldosteronism leads to increased sodium reabsorption and potassium excretion, resulting in hypernatremia and hypokalemia. This condition does not match the patient’s findings of hyponatremia and high urine osmolality.
Choice D Reason:
Syndrome of inappropriate Antidiuretic Hormone (SIADH) is characterized by excessive release of ADH, leading to water retention, hyponatremia, and concentrated urine. The patient’s laboratory results of low serum sodium, low serum osmolality, high urine osmolality, and elevated urine sodium are consistent with SIADH. This condition causes the kidneys to reabsorb water, diluting the blood and concentrating the urine.
Correct Answer is D
Explanation
Choice A Reason:
Macular degeneration primarily affects central vision and is characterized by a gradual loss of vision rather than sudden symptoms. It does not typically cause flashes of light, shadows over the visual field, or floaters. These symptoms are more indicative of a retinal issue.
Choice B Reason:
Cataracts cause clouding of the lens, leading to blurred vision and difficulty seeing at night. However, they do not cause sudden flashes of light, shadows over the visual field, or floaters. Cataracts develop gradually and do not present with acute symptoms.
Choice C Reason:
Glaucoma is associated with increased intraocular pressure, which can lead to gradual loss of peripheral vision. While acute angle-closure glaucoma can cause sudden symptoms, it typically presents with severe eye pain, headache, and nausea, rather than flashes of light and floaters.
Choice D Reason:
Retinal detachment is characterized by the sudden onset of flashes of light, floaters, and a shadow or curtain over the visual field. These symptoms occur because the retina is pulling away from its normal position, which can lead to vision loss if not treated promptly. Immediate medical attention is required to prevent permanent vision loss.
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