A nurse is completing an admission assessment on a client who has hearing loss. Which of the following client statements should indicate to the nurse that the client is experiencing manifestations of Meniere’s disease?

"l can't get out of bed because the room is spinning."

"l did feel some fluid dripping from my ear when I laid down."

"Sometimes I feel slightly dizzy when I am in a loud restaurant."

"l often feel like I have cotton balls in my ears."

Answer and Explanation

The Correct Answer is A

A. "I can't get out of bed because the room is spinning": The sensation of vertigo, or the perception of spinning or movement when there is none, is a hallmark symptom of Meniere's disease. This sensation is often severe and can be debilitating, leading to difficulty with balance and mobility. Therefore, the client's statement indicating that they cannot get out of bed due to the room spinning is consistent with manifestations of Meniere's disease.

B. "I did feel some fluid dripping from my ear when I laid down": While fluid leakage from the ear can be a symptom of various ear conditions, such as otitis externa or otitis media, it is not typically associated with Meniere's disease. Meniere's disease is characterized by recurrent episodes of vertigo, hearing loss, tinnitus, and a feeling of fullness or pressure in the ear, rather than fluid leakage.

C. "Sometimes I feel slightly dizzy when I am in a loud restaurant": Feeling slightly dizzy in a loud environment may suggest sensitivity to noise (phonophobia) or a mild form of dizziness such as disequilibrium, but it is not specific to Meniere's disease. Meniere's disease typically presents with severe episodes of vertigo rather than mild dizziness.

D. "I often feel like I have cotton balls in my ears": The sensation of having cotton balls in the ears may indicate a feeling of fullness or pressure in the ears, which is a common symptom of Meniere's disease. However, this symptom alone is not sufficient to diagnose Meniere's disease, as it can also occur in other conditions affecting the middle ear, such as eustachian tube dysfunction or otitis media. Additionally, Meniere's disease is primarily characterized by vertigo, not just ear fullness or pressure.

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Correct Answer is B

Explanation

A. "Vision changes occur when the retina begins to breakdown and collect bits of debris": This statement does not accurately describe the changes that occur in the eye during retinal detachment. Vision changes in retinal detachment primarily occur due to the separation of the retina from its underlying tissue layers, rather than the breakdown and collection of debris within the retina.

B. "Vision changes occur when retinal tissue pulls away from the blood vessels in the eye": Retinal detachment occurs when the retina, which is the light-sensitive layer at the back of the eye, pulls away from its normal position along the inner wall of the eye. This separation disrupts the blood supply to the retina, leading to vision changes. The most common symptom of retinal detachment is the sudden appearance of floaters or flashes of light in the visual field, followed by a shadow or curtain effect as the detachment progresses. Therefore, this statement accurately describes the pathophysiological mechanism underlying vision changes in retinal detachment.

C. "Vision changes occur when the cloudy lens alters the passage of light through the eye": This statement describes changes associated with cataracts, not retinal detachment. Cataracts involve clouding of the lens inside the eye, which can lead to vision changes such as blurriness or decreased visual acuity. However, cataracts are distinct from retinal detachment, which involves the separation of the retina from the inner wall of the eye.

D. "Vision changes occur suddenly due to complete obstruction of aqueous humor outflow": This statement describes the pathophysiology of acute angle-closure glaucoma, not retinal detachment. Acute angle-closure glaucoma is characterized by sudden elevation of intraocular pressure due to complete obstruction of the outflow of aqueous humor, leading to rapid onset of symptoms such as severe eye pain, blurred vision, and halos around lights. Retinal detachment, on the other hand, is characterized by the separation of the retina from its normal position, resulting in distinct vision changes such as floaters, flashes of light, and visual field defects.

A. "Your heart condition is caused by thickening of the ventricular walls and septum." B. "Your heart condition is caused by excessive stretching of the ventricles." C. "Your heart condition is caused when the ventricular tissue becomes fibrous and fatty." D. "Your heart condition is caused from stiffening of the walls of the ventricles." E. Family history of aneurysm

Correct Answer is D

Explanation

A. "Your heart condition is caused by thickening of the ventricular walls and septum." Thickening of the ventricular walls and septum is characteristic of conditions like hypertrophic cardiomyopathy, not pericarditis. This statement does not accurately describe the cause of pericarditis.

B. "Your heart condition is caused by excessive stretching of the ventricles." Excessive stretching of the ventricles is not a typical cause of pericarditis. While stretching of the heart muscle may occur in certain conditions, it is not directly related to pericarditis.

C. "Your heart condition is caused when the ventricular tissue becomes fibrous and fatty." Fibrous and fatty changes in ventricular tissue are features of conditions such as ischemic cardiomyopathy, not pericarditis. This statement does not accurately explain the cause of pericarditis.

D. "Your heart condition is caused from stiffening of the walls of the ventricles." Pericarditis is inflammation of the pericardium, the sac-like membrane surrounding the heart. When the pericardium becomes inflamed, it can stiffen, restricting the heart's movement and leading to chest pain. Therefore, option D accurately explains the cause of pericarditis, attributing it to the stiffening of the pericardium.

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A nurse is completing an admission assessment on a client who has hearing loss. Which of the following client statements should indicate to the nurse that the client is experiencing manifestations of Meniere’s disease?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to a group of clients about the changes that occur in the eye when clients experience retinal detachment. Which of the following statements should the nurse include in the teaching?

Correct Answer is B

Explanation

A nurse is teaching a client who has pericarditis. Which of the following statements should the nurse include in the client teaching to explain the cause of pericarditis?

Correct Answer is D

Explanation

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