A client has Ménière's disease. Which question by the nurse would elicit the most pertinent information related to client safety?
a. "Are your attacks at certain times of the day?"
b. "Do your attacks come on without warning?"
c. "How long does each attack last?"
d. "What seems to bring on your attacks?"
B
Ménière's disease triggers attacks of vertigo that present safety concerns for the client. While all the questions elicit useful information, knowing that a client has no warning before becoming dizzy would lead the nurse to advise that the client not drive, swim, climb ladders or scaffolds, or do other activities where a sudden onset of dizziness would present an increased risk of injury.
You might also like to view...
Pituitary hormones are under the control of which of the following?
A) Brainstem B) Feedback loops C) Autonomic nervous system D) Hypothalamus
The nurse determines clinical death and initiates CPR immediately. How long is resuscitation considered possible?
a. If cardiopulmonary arrest has existed for no more 2 minutes b. If cardiopulmonary arrest has existed for no more 3 minutes c. If cardiopulmonary arrest has existed for no more 4 minutes d. If cardiopulmonary arrest has existed for no more 5 minutes
Why is it important for the nurse to explain side effects associated with prescribed drugs when implementing interventions for the client to safely manage his or her own self-care?
A) It reduces the potential for sedation, which may have adverse effects. B) It creates motivation for remaining compliant. C) It reduces the potential for noncompliance or harm. D) It may reduce the potential for withdrawal symptoms that mimic anxiety.
The patient reports intense pain and rates it 10/10. He is talking and laughing on the telephone but interrupts his conversion to request pain medication
The nurse would make a decision about the administration of medication based on which indicator of pain? a. The patient's body language and emotional state b. The patient's level of activity and interaction with others c. The patient's subjective statements about the pain d. The nurse's objective data regarding the physical characteristics of the pain