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 A

Explanation

A. Neutrophils are a type of white blood cell involved in the body's immune response, particularly in fighting bacterial infections. In the context of burns, especially full-thickness burns with purulent drainage, an elevated neutrophil count (neutrophilia) may indicate an ongoing infection. Burn wounds are susceptible to bacterial colonization and infection due to the loss of the skin's protective barrier.
B. Blood pH level refers to the acidity or alkalinity of the blood. While maintaining normal blood pH is crucial for overall health, changes in blood pH are not typically directly related to the presence of purulent drainage in burn wounds.
C. Serum albumin is a protein found in the blood that plays a role in maintaining osmotic pressure and transporting various substances, including drugs and hormones. Low serum albumin levels (hypoalbuminemia) can occur in individuals with severe burns due to increased protein loss through damaged skin and decreased protein synthesis. However, it is not directly related to evaluating purulent drainage from burn wounds.
D. Platelet count: Platelets are blood cells involved in clotting, which is essential for wound healing. While thrombocytopenia (low platelet count) can occur in individuals with severe burns,it is not directly related to assessing infection in burn wounds.

A. Teach the client to wear a mask, hand wash, and social distance to prevent spreading the virus. B. Explain to the client to inform others that they may have been potentially exposed in the last 14 days. C. Cholate the client from other clients, family, and healthcare workers not wearing proper personal protective equipment (PPE) D. Report the COVID-19 result to the local health department according to Centers for Disease Control and Prevention (CDC) guidelines.

Correct Answer is C

Explanation

Choice A reason:This is incorrect because teaching the client to wear a mask, hand wash, and social distance is not the most important action for the nurse to take. These are preventive measures that should be followed by everyone, regardless of their COVID-19 status.

Choice Breason:This is incorrect because explaining to the client to inform others that they may have been potentially exposed in the last 14 days is not the most important action for the nurse to take. This is a moral and social responsibility that should be done as soon as possible, but it does not address the urgent need of isolating the client from potential sources of infection.

Choice Creason:This is correct because isolating the client from other clients, family, and healthcare workers not wearing proper PPE is the most important action for the nurse to take. This is to prevent transmission of COVID-19 to others who may be at risk of severe complications or death.

Choice Dreason:This is incorrect because reporting the COVID-19 result to the local health department according to CDC guidelines is not the most important action for the nurse to take. This is a legal and ethical obligation that should be done after confirming the diagnosis, but it does not have an immediate impact on the client's health or safety.

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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

While caring for a client with full thickness burns covering 40% of the body, the nurse observes purulent drainage from the wounds. Before reporting this finding to the healthcare provider, the nurse should evaluate which laboratory value?

Correct Answer is A

Explanation

Two weeks after returning home from traveling, a client presents to the clinic with conjunctivitis and describes a recent loss in the ability to taste and smell. The nurse obtains a nasal swab to test for COVID 19 Which action is most important for the nurse to take?

Correct Answer is C

Explanation

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