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."

Answer and Explanation

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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Correct Answer is D

Explanation

Rationale:
A. Auscultating bowel sounds for 3 to 5 minutes is appropriate if sounds are not initially heard.
B. Clamping the NG tube prevents false bowel sounds from the tube.
C. Performing auscultation between meals ensures accurate assessment of bowel sounds.
D. Palpating the abdomen prior to auscultation can alter bowel sounds, making it important to auscultate before palpation.

A. Serum creatinine 0.8 mg/dL B. A severe allergy to amoxicillin C. A recent history of diarrhea for 3 days D. A history of phlebitis following an IV infusion of 0.9% sodium chloride with 10 mEq of potassium chloride

Correct Answer is B

Explanation

A. A serum creatinine level of 0.8 mg/dL is within the normal range and does not contraindicate the administration of cefoxitin.
B. A severe allergy to amoxicillin indicates a potential cross-allergy with cephalosporins like cefoxitin, making it a contraindication for administration.
C. A recent history of diarrhea is not typically a contraindication for administering cefoxitin, unless it is severe or related to a specific infectious cause.
D. A history of phlebitis from a previous IV infusion is not a contraindication for cefoxitin unless it suggests an intolerance to certain infusion components.

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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?

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Naxlex Comprehensive Predictor Exams

A charge nurse is observing a nurse auscultating a client's bowel sounds. Which of the following actions requires intervention by the charge nurse?

Correct Answer is D

Explanation

A nurse is reviewing the medical record of a client who is to receive the first dose of cefoxitin via intermittent IV bolus. Which of the following findings should the nurse identify as a contraindication for the client to receive cefoxitin and report to the provider?

Correct Answer is B

Explanation

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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?