A client with Meniere's disease is experiencing severe vertigo. Which instruction should the nurse give to the client to assist in controlling the vertigo?
Increase sodium in the diet
Avoid sudden head movements.
Increase fluid intake to 3000 mL a day.
Lie still and watch the television.
The Correct Answer is B
a) Increase sodium in the diet: A low-sodium diet is often recommended for clients with Meniere's disease to reduce fluid retention and decrease the severity of symptoms.
b) Avoid sudden head movements: Sudden head movements can exacerbate vertigo, so the client should avoid them to help control symptoms.
c) Increase fluid intake to 3000 mL a day: Excessive fluid intake can worsen symptoms in Meniere’s disease by increasing fluid retention in the inner ear.
d) Lie still and watch television: This is not an effective strategy for controlling vertigo. It is more beneficial for the client to rest in a quiet, dark environment to reduce vertigo episodes.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C"]
Explanation
a) Avoid lifting anything heavier than 5 lb: Lifting heavy objects can increase intraocular pressure and increase the risk of complications, so this is important to include in discharge instructions.
b) Avoid bending over: Bending over may increase intraocular pressure, which could affect the healing process after cataract surgery.
c) Use stool softeners: Stool softeners are recommended to prevent straining during bowel movements, which could increase intraocular pressure and interfere with healing.
d) Sleep on the affected side: The client should avoid sleeping on the affected side to prevent pressure on the operated eye.
Correct Answer is C
Explanation
a) Decrease fluid intake to control the intraocular pressure: Decreasing fluid intake is not a recommended treatment for glaucoma. The focus should be on controlling intraocular pressure through prescribed medications and other appropriate treatments.
b) Decrease the amount of salt in the diet: This is not a primary recommendation for managing glaucoma. However, reducing salt intake may be beneficial for overall cardiovascular health, but it doesn't directly impact intraocular pressure.
c) Eye medications will need to be administered for life. Glaucoma is a chronic condition, and lifelong use of eye medications is often necessary to control intraocular pressure and prevent damage to the optic nerve.
d) Avoid overuse of the eyes: While it is important to take regular breaks to reduce eye strain, this is not a primary focus for glaucoma management.
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