The nurse finds a patient with Ménière's disease crying and saying, "I don't understand why this is happening to me." Which of these outcomes is most appropriate for the nurse to recommend for the patient's plan of care?

a. Maintain fluid volume.
b. Prevent injury.
c. Prevent ear infection.
d. Decrease anxiety.


ANS: D
The patient is anxious due to the uncertainty of the disorder. The goal is to reduce the anxiety through education.

Nursing

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Following delivery of the newborn, which nursing intervention should be carried out immediately?

a. Weigh the infant b. Warm the infant c. Bathe the infant d. Inoculate the infant

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A student nurse is caring for a dying client. The client is receiving oxygen and is open-mouthed breathing. The client's gag reflex is not present. Which is the best intervention for the student to care for the client's oral cavity?

A) Frequent oral care with a soft swab and an alcohol-based mouthwash B) Frequent oral care with a soft swab with a salt-soda solution C) Frequent oral care with lemon-glycerin swabs D) Frequent oral care with a soft swab and ice chips

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Why should a woman planning to deliver at home do prenatal perineal exercises?

A) Labor will be less painful. B) The episiotomy will require fewer stitches. C) The perineal muscles will retract more readily. D) The likelihood of perineal tearing will be less.

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