A patient is experiencing dizziness and disequilibrium with head movements. For which problem should the nurse plan care?
1. imbalanced fluids
2. difficulty adjusting to life changes
3. problems with coping
4. potential to fall
Correct Answer: 4
Dizziness and disequilibrium are caused by changes within the vestibule and semicircular canals of the inner ear, which give the sensation of starting, stopping, and head position in relation to gravitational pull. Dizziness and disequilibrium create a risk for potential injury from falling because of loss of balance. Not enough information is given in the question to determine whether the symptoms of dizziness and disequilibrium are due to a fluid imbalance. It is unlikely that adjustment difficulties or coping problems are caused by dizziness and disequilibrium with head movements.
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