The patient is experiencing frequent attacks of vertigo. When planning care, which activity should the nurse encourage?
a. Increase sodium in the diet.
b. Consider a smoking cessation program.
c. Increase daily fluid intake.
d. Drink a glass of red wine before supper.
B
Cessation of smoking will decrease incidence of vertigo in the person with middle-ear disorders. Tobacco is vasoconstrictive and can affect the blood supply to the inner ear and nerves. When increased fluid pressure in the inner ear is suspected as the cause of dizziness, the provider may order a low-sodium diet and limit fluid intake. Alcohol intake does not combat vertigo.
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A nurse teaches a client who is prescribed nicotine replacement therapy. Which statement should the nurse include in this client's teaching?
a. "Make a list of reasons why smoking is a bad habit." b. "Rise slowly when getting out of bed in the morning." c. "Smoking while taking this medication will increase your risk of a stroke." d. "Stopping this medication suddenly increases your risk for a heart attack."
Which of the following would be the most helpful nursing intervention to increase the comfort of a patient with appendicitis?
a. Application of ice bag b. Administration of small tap water enema c. Warm compress over entire abdomen d. Ambulate for short periods in the room
A hospital's risk-management team provides the nursing staff with an in-service about incident reports. The in-service should include which of the following pieces of information? Select all that apply
1. An incident report always involves the patient. 2. Incident reports are part of the patient's medical record. 3. A medication error should be documented on an incident report. 4. A patient, visitor, or employee injury should be documented on an incident report. 5. An incident report is used to document out-of-the-ordinary things that happen in a health-care facility.
A mother and two children are in the emergency department. She has just escaped from a severe beating by her husband. What is the nurse's priority intervention?
a. Appeal to her maternal instincts regarding child care. b. Focus on physical safety and emotional security. c. Provide a support group referral. d. Disclose victims' legal rights.