A nurse is planning care for an older adult client who has Ménière's disease.
Which of the following interventions should the nurse include in the plan?
Encourage the client to change positions slowly.
Perform range-of-motion exercises to the client's neck every 4 hours.
Administer aspirin if the client reports a headache.
Limit the client's fluid intake to 1,500 mL per day.
The Correct Answer is A
This can help prevent dizziness and loss of balance, which are common symptoms of Ménière’s disease.
Choice B is not correct because range-of-motion exercises to the client’s neck every 4 hours are not a standard intervention for Ménière’s disease.
Choice C is not correct because aspirin is not always the recommended medication for headaches associated with Ménière’s disease.
Choice D is not correct because limiting fluid intake is not a standard intervention for Ménière’s disease.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
This statement indicates that the client understands that genital herpes lesions can take time to heal and that they may not resolve immediately.
Choice A is incorrect because antibiotic ointment is not used to treat genital herpes lesions.
Antiviral medication is used to manage symptoms and prevent outbreaks.
Choice C is incorrect because natural skin condoms are not effective in preventing the spread of genital herpes.
Latex condoms should be used during sexual intercourse to reduce the risk of transmission.
Choice D is incorrect because the duration of antiviral medication treatment for genital herpes varies and may be longer than 3 weeks.
It’s important for the client to follow their healthcare provider’s instructions for taking medication.
Correct Answer is D
Explanation
The nurse should palpate the dorsalis pedis pulse.
This is to assess for peripheral neurovascular dysfunction, which is a potential complication of a tibial fracture.
Choice A, wrapping sterile gauze on the sharp point of the pins, is not an answer because it is not mentioned in the search results as an intervention for a client with an external fixator for a tibial fracture.
Choice B, adjusting the clamps on the fixator frame, is not an answer because it is not mentioned in the search results as an intervention for a client with an external fixator for a tibial fracture.
Choice C, maintaining the affected extremity in a dependent position, is not an answer because it is not mentioned in the search results as an intervention for a client with an external fixator for a tibial fracture.
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