A nurse is caring for a client who is diagnosed with Ménière's disease. Which of the following measures should the nurse take when caring for this client?
A) Encourage the client to take in more fluids.
B) Elevate the head of the bed to about 45 degrees.
C) Explain all actions to the client ahead of time.
D) Provide the client a diet rich in sodium.
C
Feedback:
When caring for a client with Ménière's disease, the nurse should explain all actions ahead of time because sudden actions may precipitate an attack. The nurse should encourage the client to take fluids in small amounts because the nauseated client is better able to tolerate small amounts. The nurse should keep the bed in a low position at all times to protect against dangerous falls. The client should be given a low-sodium diet and not a diet rich in sodium, in order to decrease edema and pressure on the inner ear.
You might also like to view...
A nurse is caring for four patients on a general pediatric unit. The nurse identifies risk for impaired skin integrity as a nursing diagnosis for all four. Which patient's skin should the nurse assess first?
A. Adolescent 4 hours postoperative after appendectomy B. School-age child just back from a tonsillectomy C. Teen eating in a chair 1 week post-burn D. Toddler with broken femur in skeletal traction
A nurse is teaching the parents of a dying child how to recognize impending death. Which manifestations does the nurse tell the parents to expect? (Select all that apply.)
A. Changes in breathing patterns B. Decreased desire to eat or drink C. Increased blood pressure D. Pale, cool skin E. Restlessness or agitation
The nurse reviewing a client's records notes the client has been receiving nitazoxanide (Alinia). Which question should the nurse ask the client?
A. "Has your partner been treated?" B. "Do you still have mosquito bites?" C. "Do you have access to clean water?" D. "Are you still cleaning the cat litter box?"
A family member of a patient with Alzheimer disease (AD) asks if the disease is genetic. Which response should the nurse make? (Select all that apply.)
1. "Some forms of AD have a genetic pattern." 2. "Early-onset AD is more likely familial than late-onset AD." 3. "One-third to one-half of all AD may be the genetic form." 4. "One-quarter to one-third of all AD may be the genetic form." 5. "There is not any evidence of a genetic link with AD."