Nokea
A client has Ménière's disease with frequent attacks. About what drugs does the nurse plan to teach the client? (Select all that apply.)
- A. Broad-spectrum antibiotics
- B. Chlorpromazine hydrochloride (Thorazine)
- C. Diphenhydramine (Benadryl)
- D. Meclizine (Antivert)
- E. Nonsteroidal anti-inflammatory drug (NSAID)
Correct Answer: B,C,D
Rationale: Drugs such as chlorpromazine, diphenhydramine, and meclizine can all be used to treat Ménière's disease. Antibiotics and NSAIDs are not used.
You may also like to solve these questions
An older adult in the family practice clinic reports a decrease in hearing over a week. What action by the nurse is most appropriate?
- A. Assess for cerumen buildup.
- B. Applying ice four times a day
- C. Perform tuning fork tests.
- D. Review the medication list.
Correct Answer: A
Rationale: All options are possible actions for the client with hearing loss. The first action the nurse should take is to assess for cerumen buildup, as it is a common cause of sudden hearing loss in older adults. The other actions may follow but are not the priority.
A client is scheduled for a tympanoplasty. What actions by the nurse are most appropriate? (Select all that apply.)
- A. Administer preoperative antibiotics
- B. Assess for allergies to local anesthetics
- C. Ensure that informed consent is on the chart
- D. Teach that hearing improves immediately
- E. Administer antivertigo medications
Correct Answer: A,B,C
Rationale: Preoperatively, the nurse administers antibiotics, assesses for allergies to anesthetics, and ensures that informed consent is on the chart. Antivertigo medications are not used, and hearing improvement is not immediate until the ear packing is removed.
A nursing student is instructed to remove a clients ear packing and instill eardrops. What action by the student requires intervention by the registered nurse?
- A. Assessing the eardrum with an otoscope.
- B. Warming the eardrops in water for 5 minutes.
- C. Using a cotton swab to clean the ear canal.
- D. Instilling eardrops at room temperature.
Correct Answer: A
Rationale: Assessing the eardrum with an otoscope requires specialized training and is not within the scope of a nursing student. Warming eardrops and instilling them at room temperature are appropriate. Using a cotton swab is not ideal but does not require immediate intervention.
A client is going on a cruise but has had motion sickness in the past. What suggestion does the nurse make to this client?
- A. Avoid alcohol on the cruise ship.
- B. Change positions slowly on the ship.
- C. Change your travel plans.
- D. Try scopolamine (Transderm Scop).
Correct Answer: D
Rationale: Scopolamine can successfully treat the vertigo and dizziness associated with motion sickness. Avoiding alcohol and changing positions slowly are not effective. Telling the client to change travel plans is not a caring suggestion.
During ear irrigation, what action should the nurse take if the client becomes nauseated?
- A. Continue the procedure slowly.
- B. Stop the procedure immediately.
- C. Administer an antiemetic medication.
- D. Encourage the client to breathe deeply.
Correct Answer: B
Rationale: During ear irrigation, if the client becomes nauseated, the nurse should stop the procedure immediately to prevent further discomfort or complications. The other options are not appropriate in this context.