A client is scheduled to have an electronystagmography as part of a diagnostic workup for Ménière's disease. What question is it most important for the nurse to ask the client in preparation for this test?
A) Have you ever experienced claustrophobia or feelings of anxiety while in enclosed spaces?
B) Do you currently take sedatives, tranquilizers, or antihistamines on a regular basis?
C) Do you have a history of falls or problems with loss of balance?
D) Do you have a history of either high or low blood pressure?
Ans: B
Feedback: Electronystagmography measures changes in electrical potentials created by eye movements during induced nystagmus. Sedatives, tranquilizers, and antihistamines suppress the vestibular system in the inner ear, leading to unreliable test results. These medications should be withheld for 24 hours prior to testing. Claustrophobia is not a significant concern associated with this test; rather, it is most often a concern for clients undergoing magnetic resonance imaging (MRI). Balance is impaired by Ménière's disease; therefore a client history of balance problems is important, but is not relevant to test preparation. Hypertension or hypotension, while important health problems, should not be affected by this test.
You might also like to view...
In discharge planning for a left-radical mastectomy patient, the nurse informs the client about actions that may increase lymphedema. Which of the following is most likely to increase symptoms?
A) Wearing gloves for gardening B) Carrying in heavy groceries C) Wearing dresses with elasticized sleeves D) Driving to and from work every day
The nurse is caring for a client exposed to a blistering agent. While the nurse is quickly decontaminating the client by showering and bagging all client clothing, what is the nurse simultaneously assessing for?
A) Neurological compromise B) Respiratory compromise C) Cardiovascular compromise D) Sensory neglect
While documenting care provided to a patient in the home, the nurse encounters a problem with the electronic medical record. Which action indicates that the nurse was able to troubleshoot and address the problem?
1. Followed the steps in the technical difficulties guide and completed documentation 2. Closed the electronic medical record and documented care in a traditional hard-copy note 3. Telephoned the information technology department and reported a problem with the system 4. Used the patient's personal computer to access the electronic record to record documentation
The nurse feels most confident that an older patient is prepared to assume self-management of new type 2 insulin-dependent diabetes when the patient
a. is heard asking her son to check the insu-lin's expiration date. b. is able to identify the symptoms of hy-poglycemia. c. asks why she needs to test her glucose le-vels so frequently. d. inquires why she needs to have an A1C test every 3 months.