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 C

Explanation

A. A positive Western blot test confirms HIV infection but does not provide immediate information on the client's immune status.
B. Platelets within the normal range are important but do not directly indicate the client's immune status or HIV progression.
C. CD4-T-cell count is crucial for monitoring HIV progression and immune function. A low count indicates immunosuppression and increased risk of opportunistic infections.
D. WBC count is important but does not specifically indicate the client's HIV status or immune function related to HIV.

A. Prophylactic antibiotics B. Packed RBCs C. Recombinant factor VIII D. Fresh frozen plasma

Correct Answer is C

Explanation

A. Prophylactic antibiotics are not routinely given solely because of hemophilia A. They may be indicated based on the client's overall health and the procedure.
B. Packed RBCs are not typically needed for wisdom teeth extractions in clients with hemophilia A, as these procedures do not usually cause significant blood loss.
C. Recombinant factor VIII is the specific treatment for hemophilia A and is administered prior to procedures to prevent bleeding.
D. Fresh frozen plasma contains clotting factors but is not the treatment of choice for hemophilia A. Recombinant factor VIII is preferred due to its specific action and lower risk of complications.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has HIV. Which of the following laboratory values is the nurse's priority?

Correct Answer is C

Explanation

A nurse is caring for an adolescent who has hemophilia A and is scheduled for wisdom teeth extractions. Prior to the procedure, the nurse should anticipate that the client will receive which of the following products?

Correct Answer is C

Explanation

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