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A nurse is providing teaching to a client with Meniere's disease. The nurse recognizes that which of the following instructions should be given to the client regarding vertigo?

A.

Report dizziness at once.

B.

Get up slowly, turning the entire body.

C.

Drive in daylight hours only.

D.

Change your position using the logroll technique.

Answer and Explanation

The Correct Answer is B

A. While reporting dizziness is important, it does not directly aid in managing vertigo episodes.  

 

B. Instructing the client to get up slowly while turning their entire body helps to reduce vertigo symptoms by minimizing head movement, which can trigger or worsen dizziness in Meniere’s disease.  

 

C. Driving is not recommended during symptomatic periods of vertigo, as it could be unsafe.  

 

D. The logroll technique is typically used for clients with spinal issues rather than vertigo management in Meniere’s disease.


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Correct Answer is C

Explanation

A. The supine position can increase ICP and is not recommended for clients with elevated ICP.

B. Instructing the client to pull themselves up may increase ICP due to straining.

C. Log rolling helps maintain spinal alignment and minimizes abrupt head movement, which is essential in managing ICP.

D. Sitting with legs dangling may cause a sudden shift in intracranial pressure and is not advised for these clients.

Correct Answer is B

Explanation

A. Serum thyroxine (T4) is typically decreased in primary hypothyroidism due to reduced thyroid hormone production.

B. In primary hypothyroidism, the thyroid gland fails to produce sufficient hormones, which leads to an increase in thyroid-stimulating hormone (TSH) as the pituitary gland tries to stimulate thyroid function. Elevated TSH is a common finding in primary hypothyroidism.

C. Serum T3 is usually decreased in primary hypothyroidism since the production of T3 and T4 is reduced.

D. Free T4 is typically low in primary hypothyroidism as the thyroid gland is underactive and not producing adequate levels of thyroid hormones.

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