A client experiences residual effects following an acute attack of Ménière's disease and receives a new prescription for an antihistamine. Which assessment finding indicates that the medication is effective?

Blood pressure of 120/80 mm Hg.

Oxygen saturation level of 99%

Headache rated at 0 on 0 to 10 scale.

Ambulates easily without vertigo

Answer and Explanation

The Correct Answer is D

A.   This assessment finding may be within the normal range for blood pressure, but it does not directly indicate the effectiveness of the antihistamine medication for Ménière's disease. Antihistamines are not typically prescribed to directly affect blood pressure.
B.   While maintaining adequate oxygen saturation is important for overall health, this finding is not specific to the management of Ménière's disease with antihistamine medication. Antihistamines are not typically prescribed to directly affect oxygen saturation levels. Therefore, this finding may not directly indicate the effectiveness of the medication for Ménière's disease.
C.   Headache rated at 0 on a 0 to 10 scale is not specific to vertigo.
D.   Ambulating easily without vertigo is relevant for assessing the effectiveness of the antihistamine medication for Ménière's disease. Vertigo, characterized by a sensation of spinning or dizziness, is a hallmark symptom of Ménière's disease.

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Correct Answer is D

Explanation

D. Persistent pain following the resolution of herpes zoster, known as postherpetic neuralgia (PHN), is a common complication, especially in older adults. PHN can cause significant discomfort and affect the client's quality of life. Therefore, it is essential for the nurse to conduct a comprehensive assessment of the client's pain to better understand its characteristics, severity, duration, aggravating or alleviating factors, and impact on daily activities.
A. Patient education should follow a complete assessment of the pain to ascertain the diagnosis.
B. Performing a complete mental status exam is not indicated solely based on the client's report of persistent pain from herpes zoster.
C. Determining if the client has had a shingles vaccination is important for preventive healthcare, but it is not the priority action in addressing the client's current pain concern related to PHN. The focus should be on assessing and managing the client's pain to improve their comfort and well-being.

A. Increase physical activity. B. Take vitamin supplements. C. Consume a high protein diet. D. Obtain a prostate-specific antigen blood level test.

Correct Answer is A

Explanation

A. Physical activity helps maintain overall health, including cardiovascular fitness, weight management, and hormonal balance, which may contribute to reducing the risk of BPH development or progression.
B. There is limited evidence to support their role in preventing or reducing the risk of BPH
C. Dietary factors such as overall calorie intake, fat consumption, and specific food choices may play a role in prostate health, but the relationship between protein intake and BPH risk is not well- established.
D. PSA testing is used for screening and monitoring prostate cancer, not BPH.

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A client experiences residual effects following an acute attack of Ménière's disease and receives a new prescription for an antihistamine. Which assessment finding indicates that the medication is effective?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Five months following treatment for herpes zoster, an older adult client tells the home health nurse of continuing to experience pain where the rash occurred. Which action should the nurse implement?

Correct Answer is D

Explanation

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Correct Answer is A

Explanation

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