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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 B

Explanation

A. Weight gain is not a symptom of hyperthyroidism; in fact, patients often experience weight loss.

B. Beta blockers are commonly used to manage symptoms of tachycardia and palpitations associated with hyperthyroidism, as they help to decrease heart rate and reduce anxiety.

C. Weight loss is a typical symptom of hyperthyroidism, and beta blockers do not address this issue directly.

D. Depression is not a primary indication for beta blocker use in hyperthyroidism; instead, they are more focused on managing the cardiovascular symptoms associated with the condition.

Correct Answer is ["A","C","D"]

Explanation

A. Calcium binders are used to help decrease the amount of calcium absorbed from the gastrointestinal tract, thus lowering calcium levels in the blood.

B. Vitamin D supplements would actually increase calcium levels by enhancing intestinal absorption, so this option is not appropriate in hypercalcemia.

C. Administering fluids helps to dilute serum calcium levels and promote renal excretion of calcium, making it a priority treatment.

D. Furosemide (Lasix) can help promote diuresis, thereby increasing the excretion of calcium through the urine, which is beneficial in managing hypercalcemia.

E. Oral phosphates may be used in some cases to manage hypercalcemia, but they are not a first-line treatment and their administration should be carefully considered in conjunction with other treatments.

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