A 55-year-old patient is diagnosed with Meniere’s disease. Which of the following symptoms is most characteristic of this condition?

Shortness of breath.

Chest pain.

Fever.

Vertigo.

Answer and Explanation

The Correct Answer is D

Choice A Reason:

Shortness of breath is not typically associated with Meniere’s disease. This condition primarily affects the inner ear, leading to symptoms related to balance and hearing. Shortness of breath is more commonly linked to respiratory or cardiovascular issues.

Choice B Reason:

Chest pain is not a characteristic symptom of Meniere’s disease. Chest pain is usually related to cardiac or musculoskeletal problems. Meniere’s disease affects the inner ear and does not typically cause chest pain.

Choice C Reason:

Fever is not a common symptom of Meniere’s disease. Fever is generally associated with infections or inflammatory conditions. Meniere’s disease involves the buildup of fluid in the inner ear, leading to vertigo, tinnitus, and hearing loss, but not fever.

Choice D Reason:

Vertigo is the most characteristic symptom of Meniere’s disease. Vertigo involves a spinning sensation that can be severe and debilitating. It is caused by the abnormal fluid buildup in the inner ear, which disrupts the balance and hearing functions. This symptom is a hallmark of Meniere’s disease and is often accompanied by tinnitus and hearing loss.

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Correct Answer is C

Explanation

Choice A Reason:

Administering intravenous fluids is not the most appropriate initial action for managing hypopituitarism. While IV fluids may be necessary in cases of acute adrenal crisis or severe dehydration, they do not address the underlying hormone deficiencies caused by hypopituitarism. The primary treatment focuses on replacing the deficient hormones to restore normal physiological functions.

Choice B Reason:

Performing a transsphenoidal hypophysectomy is a surgical procedure used to remove pituitary tumors. While this may be necessary if a tumor is causing hypopituitarism, it is not the initial action for managing the condition. The first step is to stabilize the patient with hormone replacement therapy before considering surgical interventions.

Choice C Reason:

Initiating hormone replacement therapy is the most appropriate initial action for managing hypopituitarism. This condition results in the deficiency of one or more pituitary hormones, and replacing these hormones is crucial to restore normal body functions. Hormone replacement therapy may include cortisol, thyroid hormone, sex hormones, and growth hormone, depending on which hormones are deficient.

Choice D Reason:

Recommending dietary modifications alone is not sufficient to manage hypopituitarism. While a balanced diet can support overall health, it does not address the specific hormone deficiencies associated with this condition. Hormone replacement therapy is essential for managing hypopituitarism effectively.

A. The client’s tongue B. The client’s eyelid C. The lens of the client’s eye D. The posterior pharynx of the client’s throat

Correct Answer is C

Explanation

Choice A Reason:

The client’s tongue is not relevant for diagnosing cataracts. Cataracts are an eye condition characterized by clouding of the lens, which affects vision. The tongue does not provide any information related to the presence of cataracts.

Choice B Reason:

The client’s eyelid is also not relevant for diagnosing cataracts. While the eyelid can be examined for other eye-related conditions, it does not provide information about the lens’s clarity or the presence of cataracts. Cataracts specifically affect the lens inside the eye.

Choice C Reason:

The lens of the client’s eye is the correct area to examine for diagnosing cataracts. Cataracts cause the lens to become cloudy, leading to symptoms such as blurred vision, difficulty seeing at night, and sensitivity to light. An eye examination, including a slit-lamp exam, allows the healthcare provider to see the lens and identify any cloudiness or opacities indicative of cataracts.

Choice D Reason:

The posterior pharynx of the client’s throat is not relevant for diagnosing cataracts. This area is examined for conditions related to the throat and respiratory system, not for eye conditions. Cataracts are diagnosed through an eye examination focusing on the lens.

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A 55-year-old patient is diagnosed with Meniere’s disease. Which of the following symptoms is most characteristic of this condition?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Explanation

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