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 D

Explanation

A. "I should ask my son to drive me to the grocery store." This statement does not directly address the risk for sudden cardiac death associated with arrhythmogenic cardiomyopathy. While it may be a valid safety precaution to have someone else drive, it does not specifically address the client's understanding of the condition and its implications for sudden cardiac death.

B. "I will probably become easily constipated." Constipation is not a typical manifestation or complication of arrhythmogenic cardiomyopathy. This statement does not demonstrate an understanding of the condition and its associated risk of sudden cardiac death.

C. "I am aware that I may develop frequent hiccups." Frequent hiccups are not a characteristic symptom or complication of arrhythmogenic cardiomyopathy. This statement does not indicate an understanding of the condition and its risk for sudden cardiac death.

D. "I will need to avoid strenuous activity to prevent my heart from stopping." This statement reflects an understanding of the condition and its associated risk of sudden cardiac death. Strenuous activity can exacerbate arrhythmias in individuals with arrhythmogenic cardiomyopathy, potentially leading to life-threatening arrhythmias such as ventricular fibrillation. Avoiding strenuous activity is a recommended precaution to reduce the risk of sudden cardiac death in individuals with this condition.

A. Lower back or groin pain B. Hunger after eating C. Pain in the chest D. Presence of Cullen's sign

Correct Answer is A

Explanation

A. Lower back or groin pain: Lower back or groin pain can be an early manifestation of an abdominal aortic aneurysm (AAA). This pain may result from pressure exerted by the enlarging aneurysm on surrounding structures or from irritation of nerves as the aneurysm expands. As the aneurysm enlarges, the pain may become more severe and persistent.

B. Hunger after eating: Hunger after eating is not typically associated with an abdominal aortic aneurysm. This symptom may be indicative of various gastrointestinal issues such as peptic ulcer disease or gastritis, but it is not a characteristic manifestation of AAA.

C. Pain in the chest: While AAA can lead to compression of nearby structures, resulting in referred pain, chest pain is not a common early manifestation of an abdominal aortic aneurysm. Chest pain is more commonly associated with cardiac issues such as angina or myocardial infarction.

D. Presence of Cullen's sign: Cullen's sign refers to periumbilical bruising, which can occur due to retroperitoneal hemorrhage from a ruptured AAA. However, Cullen's sign is not an early manifestation of an AAA; it is typically observed in more advanced cases or after rupture has occurred.

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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?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is A

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