The nurse is planning care for a patient with Ménière's disease. Which nursing diagnosis takes highest priority?
A) Acute pain related to Ménière's disease
B) Imbalanced nutrition, less than body requirements related to nausea and vomiting
C) Risk for deficient fluid volume related to vomiting
D) Risk for injury related to vertigo
Ans: D
Feedback: Vertigo, the hallmark finding in Ménière's disease, is a severe rotational whirling sensation that typically causes the patient to fall when attempting to stand or walk. Because patient safety is paramount, the nursing diagnosis of risk for injury related to vertigo takes priority. Ménière's disease doesn't cause pain. Although nausea and vomiting may lead to imbalanced nutrition and fluid loss, these problems aren't as important as patient safety.
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