The nurse is collecting data for a patient who has Ménière's disease. Which of these findings should the nurse expect?
a. Nystagmus, nausea, and edema
b. Blurred vision, vomiting, and arthralgia
c. Syncope, headache, and diplopia
d. Hearing loss, vertigo, and tinnitus
ANS: D
A triad of symptoms of vertigo, hearing loss, and tinnitus characterizes Ménière's disease.
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A nurse on the medical-surgical unit has received a hand-off report. Which client should the nurse see first?
a. Client being discharged later on a complicated analgesia regimen b. Client with new-onset abdominal pain, rated as an 8 on a 0-to-10 scale c. Postoperative client who received oral opioid analgesia 45 minutes ago d. Client who has returned from physical therapy and is resting in the recliner
A belief of Ayurvedic medicine is the concept of doshas. What is a characteristic of this concept?
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A 60-year-old client who is on sulfonamide therapy has impaired urinary elimination. She does not want to increase her oral fluid intake because of fear of incontinence. Which of the following nursing interventions would be most appropriate?
A) Inform the client that there is no need to increase fluid intake. B) Inform the client that increasing fluid intake will not result in incontinence. C) Teach the client the times to take fluids to maintain continence. D) Increase fluid intake by 1000 mL instead of 2000 mL to avoid incontinence.
A client is being evaluated in the emergency department for possible thrombolytic therapy to treat an STEMI. The nurse assesses a relative contraindication for this treatment, which is
a. aortic aneurysm. b. known intracranial tumor. c. pregnancy. d. previous hemorrhagic stroke.