A nurse is caring for the client who has Ménière's disease and asks if he is allowed to ambulate independently. Which of the following responses should the nurse make?
"Yes, you are free to move around as you wish."
"We will have to get a prescription from your provider.
"No, you are on strict bedrest and must not be up."
"Please ring for assistance when you wish to get out of bed."
The Correct Answer is D
A. Allowing free movement could increase the risk of falls due to dizziness.
B. While involving the provider is important, immediate safety measures should be communicated directly.
C. Strict bedrest is not typically necessary, and movement can help prevent complications like blood clots.
D. Assisting the client when they wish to get out of bed ensures safety by preventing falls, which are a significant risk for those with Ménière's disease due to vertigo.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Teaching foot care to a client with diabetes is an example of tertiary prevention, which aims to manage and improve quality of life for individuals with chronic diseases.
B. Performing monthly breast self-examinations is an example of secondary prevention, which involves early detection of diseases to provide timely treatment.
C. Providing a community program on stress reduction is an example of primary prevention, which aims to prevent disease before it occurs.
D. Referring a client to a support group after a mastectomy is an example of tertiary prevention, focusing on rehabilitation and support after a significant health event.
Correct Answer is A
Explanation
A. Discussing initiating hospice care is appropriate to address the client's desire to go home for end-of-life care and to provide support and resources for the family.
B. Extending the hospital stay may not align with the client's wishes for end-of-life care at home.
C. Placing the client in a nursing home may not be in line with the client's preference to go home.
D. While the family may provide palliative care, the nurse should also explore hospice care options for comprehensive support.
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