A nurse is caring for a client who has Meniere's disease. Which of the following instructions should the nurse include?
Use large-print books.
Avoid standing on chairs or ladders.
Stay away from flickering lights.
Minimize unnecessary room changes.
The Correct Answer is B
A. Use large-print books: Meniere’s disease primarily affects balance and hearing. Large-print books are not specifically necessary for managing Meniere’s disease, although they may benefit clients with vision impairment.
B. Avoid standing on chairs or ladders: Meniere's disease can cause vertigo, which increases the risk of falls. The nurse should advise the client to avoid activities that could lead to falls, such as standing on chairs or ladders, especially during episodes of vertigo.
C. Stay away from flickering lights: Flickering lights may trigger migraines or seizures in some individuals but are not specifically related to Meniere’s disease, avoiding flickering lights is not a primary focus for managing the disease.
D. Minimize unnecessary room changes: While minimizing sudden movements or changes in the environment can be helpful for maintaining balance, "minimizing unnecessary room changes" is not a key instruction for managing Meniere's disease.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. ST segment: The ST segment represents the period between the end of ventricular depolarization and the beginning of ventricular repolarization. It does not reflect impulse conduction from the sinus node to the atrioventricular (AV) node.
B. QRS complex: The QRS complex represents ventricular depolarization and does not reflect impulse conduction through the atria or the AV node. It mainly reflects the electrical activity of the ventricles.
C. PR interval: The PR interval measures the time it takes for the electrical impulse to travel from the sinus node through the atria and AV node before reaching the ventricles. It is the most appropriate component for evaluating impulse conduction from the sinus node through the AV node.
D. PP interval: The PP interval measures the time between successive P waves, which corresponds to the time between atrial depolarizations. It does not specifically reflect conduction through the AV node.
Correct Answer is D
Explanation
A. Perform the reconciliation only at admission and discharge: Medication reconciliation should be performed at all stages of care. It should also be done during transfers between units and at any point where medication changes occur to ensure accuracy and prevent errors.
B. Compare only the prescribed home medications to the new prescriptions: Medication reconciliation requires comparing home medications and any newly prescribed medications. This includes reviewing all medications to identify discrepancies and ensure safety.
C. Delete new prescriptions that may interact with home medications: The nurse should not delete prescriptions. Instead, they should identify potential drug interactions, assess the risks, and notify the healthcare provider to discuss alternatives or adjustments as needed.
D. Consider the risk for medication interactions: The nurse should evaluate the potential for drug interactions by comparing home medications with new prescriptions. This helps to ensure the safety and effectiveness of the client's medication regimen.
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