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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Sleep on the abdomen to facilitate wound healing: Clients are usually advised to avoid sleeping on the side of the operated eye or on the abdomen to prevent pressure on the eye.
B. Bend at the waist to pick objects up from the floor: Bending at the waist can increase intraocular pressure, which is not advisable post-surgery.
C. Notify the surgeon if white drainage develops on the eyelids: White drainage may be a sign of normal healing or minor irritation; however, yellow or green discharge would be more concerning for infection.
D. Avoid lifting anything heavier than 4.5 kg (10 lb) for 1 week. Lifting heavy objects can increase intraocular pressure and potentially disrupt the healing process after cataract surgery. The client should avoid such activities to promote proper healing.
Correct Answer is B
Explanation
A. Keep family members aware of his condition: While important, keeping family informed is not as directly impactful on the client’s emotional support as direct interaction with the client.
B. Talk with the client during wound care. Talking with the client during wound care can help to establish a trusting relationship, provide emotional support, and help the client cope with the pain and stress associated with burn treatment.
C. Rotate nursing staff so he can have varied interactions: Continuity of care is often more comforting to clients than having varied interactions.
D. Assign assistive personnel to keep his room neat and clean: This task is important for infection control but does not directly provide emotional support.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.