A client with Ménière's disease is in the hospital when the client has an attack of this disorder. What action by the nurse takes priority?
a. Assess vital signs every 15 minutes.
b. Dim or turn off lights in the client's room.
c. Place the client in bed with the upper siderails up.
d. Provide a cool, wet cloth for the client's face.
ANS: C
Clients with Ménière's disease can have vertigo so severe that they can fall. The nurse should assist the client into bed and put the siderails up to keep the client from falling out of bed due to the intense whirling feeling. The other actions are not warranted for clients with Ménière's disease.
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