Nokea
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.
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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 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.
The nurse works with clients who have hearing problems. Which action by a client best indicates goals for an important diagnosis have been met?
- A. Babysitting the grandchildren several times a week
- B. Having an adaptive hearing device for the television
- C. Being active in community groups and volunteer work
- D. Responding agreeably to suggestions for adaptive devices
Correct Answer: C
Rationale: Clients with hearing problems can become frustrated and withdrawn. The client who is actively engaged in the community shows the best evidence of psychosocial adjustment to hearing loss. Babysitting the grandchildren is a positive sign but does not indicate involvement outside the home. Having an adaptive device is not the same as being actively engaged outside the home. Responding agreeably does not indicate the client will actually follow through.
The student nurse is performing a Weber tuning fork test. What technique is most appropriate?
- A. Holding the vibrating tuning fork 10 to 12 inches from the clients ear
- B. Placing the vibrating fork in the middle of the clients head
- C. Placing the vibrating fork in the middle of the clients head
- D. Tapping the vibrating tuning fork against the bridge of the nose
Correct Answer: B
Rationale: The Weber tuning fork test involves placing the vibrating tuning fork in the middle of the client's head and asking in which ear the client hears the vibrations loudest. The other techniques are incorrect.
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.