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?
"Please ring for assistance when you wish to get out of bed."
"We will have to get a prescription from your provider."
"Yes, you are free to move around as you wish."
"No, you are on strict bedrest and must not be up."
The Correct Answer is A
A. Clients with Ménière's disease may experience dizziness and balance issues, so it is important to ensure safety by asking them to ring for assistance when moving around to prevent falls or injuries.
B. A prescription from the provider is not typically required for ambulation; instead, safety measures should be in place.
C. Allowing free movement without assistance may increase the risk of falls due to balance problems associated with Ménière's disease.
D. Strict bedrest is generally not necessary unless specifically indicated by the provider; assistance and safety measures are more appropriate.
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Correct Answer is B
Explanation
A. A decrease in urinary output can be a sign of decreased blood volume but is less immediate than changes in heart rate.
B. An increase in the heart rate is a common compensatory response to hypovolemia as the body attempts to maintain adequate perfusion to vital organs.
C. A decrease in the respiratory rate is not typically associated with hypovolemic shock; rather, respiratory rate may increase due to compensatory mechanisms.
D. An increase in temperature is not a specific indicator of hypovolemic shock; it could be related to infection or inflammation rather than immediate hypovolemia.
Correct Answer is A
Explanation
A. Vitamin C enhances the absorption of non-heme iron from plant-based sources by converting iron to a more absorbable form. Including vitamin C-rich foods with iron-rich meals can improve iron uptake.
B. Oxalates, found in foods like spinach and rhubarb, can inhibit iron absorption by binding to iron and reducing its availability.
C. Fiber, while beneficial for digestive health, does not enhance iron absorption and can, in some cases, inhibit it by binding to minerals.
D. Vitamin A does not have a direct role in the absorption of iron, though it is essential for overall health.
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