A patient experiences residual effects following an acute attack of Ménière's disease and receives a new prescription for an antihistamine. Which assessment finding indicates that the medication is effective?

Choice A reason: Using incentive spirometer is not an information that the nurse should include in the discharge instructions for a client with BPH following a TUNA, because it is not related to the procedure or the condition. The incentive spirometer is a device that helps improve lung function and prevent respiratory complications by encouraging deep breathing and coughing. Therefore, this choice is incorrect.

Choice B reason: Monitoring urinary stream for decrease in output is an information that the nurse should include in the discharge instructions for a client with BPH following a TUNA, because it can indicate urinary retention or obstruction, which are potential complications of the procedure. The client should report any difficulty or inability to urinate, severe pain, or fever to the health care provider. Therefore, this choice is correct.

Choice C reason: Reporting when hematuria becomes pink tinged is not an information that the nurse should include in the discharge instructions for a client with BPH following a TUNA, because it is not a sign of a problem. Hematuria, or blood in the urine, is a common and expected finding after the procedure, and it usually resolves within a few days. The client should drink plenty of fluids to flush out the blood clots and debris. Therefore, this choice is incorrect.

Choice D reason: Restricting physical activities is an information that the nurse should include in the discharge instructions for a client with BPH following a TUNA, but it is not the best answer. The client should avoid strenuous activities, such as lifting heavy objects, driving, or sexual intercourse, for at least two weeks after the procedure to prevent bleeding and infection. However, this information is less important than monitoring urinary stream for decrease in output. Therefore, this choice is not the best answer.

a) The client's age: The client is 70 years old, which puts her at a higher risk of having a stroke or other cardiovascular problems. Stroke is a medical emergency that requires prompt treatment to prevent brain damage and disability.

b) The client's facial droop: The client has a noticeable facial droop, which is a sign of facial nerve weakness or paralysis. This can be caused by a stroke, Bell's palsy, or other neurological conditions. Facial droop can affect the client's ability to speak, eat, and express emotions.

c) The client's garbled speech: The client has garbled speech, which means she has difficulty producing or understanding words. This can be caused by a stroke, brain injury, or other disorders that affect the language areas of the brain. Garbled speech can impair the client's communication and cognition.

d) The client's alcohol consumption: The client had a few drinks at a seafood restaurant, which may have interacted with her medications or medical conditions. Alcohol can increase the risk of bleeding, lower blood pressure, and worsen dehydration. Alcohol can also impair the client's judgment and coordination.

e) The client's seafood intake: The client ate seafood at a restaurant, which may have triggered an allergic reaction or food poisoning. Seafood allergies can cause symptoms such as hives, swelling, breathing difficulties, and anaphylaxis. Food poisoning can cause symptoms such as nausea, vomiting, diarrhea, and dehydration.