A nurse is caring for a client who has Meniere's disease. The nurse identifies which of the following manifestations is caused by an excessive accumulation of endolymph fluid?

Myopia

Vertigo

Photophobia

Presbycusis

Answer and Explanation

The Correct Answer is B

Correct answer: B

A. Myopia - Myopia (near-sightedness) is a vision condition related to the shape of the eye and is not related to Meniere's disease or endolymph fluid accumulation.

B. Vertigo - Vertigo is a primary symptom of Meniere's disease and is caused by the excessive accumulation of endolymph fluid in the inner ear, which affects balance and spatial orientation.

C. Photophobia - Sensitivity to light is not a symptom of Meniere's disease; it is more commonly associated with migraines or eye conditions.

D. Presbycusis - Presbycusis is age-related hearing loss and is unrelated to the fluid balance issues seen in Meniere's disease.

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Correct Answer is B

Explanation

A. There is an elevated number of immature thrombocytes - Thrombocytes are platelets, and a shift to the left does not refer to these.

B. There is an elevated number of immature neutrophils (bands) - A "shift to the left" typically refers to an increase in immature neutrophils, also known as bands, in the blood. This often indicates an acute infection or inflammation as the body is producing and releasing more neutrophils to fight an infection.

C. There is an elevated number of mature neutrophils (segs) - An elevated number of mature neutrophils (segmented neutrophils) does not indicate a shift to the left. The term specifically refers to immature forms.

D. There is an elevated number of mature erythrocytes - Mature erythrocytes are red blood cells, and a shift to the left does not pertain to red blood cell counts or maturity.

A. Alcohol use disorder B. Prolonged exposure to loud noises C. Exposure to environmental toxins D. Contact with excessive heat

Correct Answer is B

Explanation

A. Alcohol use disorder. While alcohol use disorder can lead to various health issues, it is not a direct cause of hearing loss.

B. Prolonged exposure to loud noises. Prolonged exposure to loud noises is a well-known risk factor for noise-induced hearing loss. This includes occupational noise exposure and listening to loud music.

C. Exposure to environmental toxins. Some environmental toxins, like certain chemicals and heavy metals, can lead to ototoxicity, which can damage the auditory system and cause hearing loss.

D. Contact with excessive heat. Excessive heat exposure is not directly linked to hearing loss. Hearing loss is more related to factors like noise exposure, ototoxic substances, and infections.

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A nurse is caring for a client who has Meniere's disease. The nurse identifies which of the following manifestations is caused by an excessive accumulation of endolymph fluid?

Nursing Test Bank

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