In planning Mrs. Filbert's care during an acute attack of Meniere disease, it would be most important to

Correct Answer: C

Rationale: In planning Mrs. Filbert's care during an acute attack of Meniere disease, the most important action would be to instruct her about prescribed dietary modifications (Option C). Meniere disease is characterized by inner ear fluid imbalance, leading to vertigo and dizziness. Dietary modifications, such as reducing salt intake, can help manage symptoms by reducing fluid retention in the inner ear. This intervention directly addresses the physiological root of the condition. The other options are less relevant or potentially detrimental in this situation. Option A focuses on emotional support, which is important but not the priority during an acute attack. Option B, keeping siderails up and assisting with mobility, may be important for fall prevention but does not address the acute symptoms of Meniere disease. Option D, encouraging ambulation, could exacerbate symptoms like vertigo and nausea during an acute attack. In an educational context, understanding the rationale behind prioritizing interventions based on the pathophysiology of a condition is crucial for providing safe and effective patient care. By choosing the correct intervention, healthcare providers can improve patient outcomes and quality of care.

Correct Answer: D

Rationale: In this scenario, the best response is option D: "Your son's condition and behavior do not seem normal. Why don't you ask your practitioner to assess your son." This response is the most appropriate because it addresses the concerning symptoms and behavior exhibited by the preteen boy and encourages the neighbor to seek professional medical advice. Option A is incorrect because it is too direct and assumes a diagnosis without proper assessment. Option B is inappropriate as it insinuates potential theft rather than focusing on the child's health. Option C is not the best response as it does not address the immediate health concerns and the child's unusual behavior during school hours. Educationally, this question highlights the importance of recognizing signs of potential health issues in children and the role of seeking medical evaluation from a healthcare provider. It emphasizes the need for early intervention and appropriate healthcare management in cases where a child's symptoms are concerning or abnormal. Encouraging open communication and seeking professional advice when faced with health-related concerns is crucial in ensuring the well-being of individuals, especially children.

Correct Answer: B

Rationale: In this scenario, the correct answer is B) Continue to irrigate eyes with water. This is the immediate and appropriate action to take when a child gets a cleaning solution in their eyes. Continuing to rinse the eyes with water helps to flush out the irritant and prevent further damage to the eyes. Water helps dilute the chemical and reduce its effects on the eye tissues. Option A) Comfort the child and check vision, while important, should come after the immediate action of rinsing the eyes with water. Vision can be assessed once the eyes have been thoroughly flushed. Option C) Call Poison Control and option D) Call 911 are not the most immediate actions to take in this situation. While they may be necessary depending on the severity of the situation, the priority is to continue irrigating the eyes with water to minimize the potential harm caused by the cleaning solution. From an educational perspective, this scenario highlights the importance of quick and appropriate action in situations involving chemical exposure to the eyes. It also emphasizes the significance of prioritizing interventions in emergency situations to ensure the best possible outcomes for the patient.

Correct Answer: D

Rationale: In this scenario, the correct answer is D) Bradycardia. Beta-adrenergic blockers are contraindicated in patients with bradycardia because these medications can further decrease the heart rate, potentially leading to serious complications such as heart block or cardiac arrest. By notifying the physician of a history of bradycardia, potential harm can be prevented. Option A) Hypertension is not a contraindication for beta-adrenergic blockers; in fact, these medications are commonly used to manage hypertension by reducing heart rate and blood pressure. Option B) Tachycardia is another condition where beta blockers are typically indicated due to their ability to slow down the heart rate. Option C) Rheumatoid arthritis is not directly related to the use of beta-adrenergic blockers in the context of glaucoma treatment. Educationally, understanding contraindications and indications for medications is crucial for safe and effective nursing practice. This question highlights the importance of recognizing when a medication should not be used based on a patient's specific health history to prevent adverse outcomes. Nurses need to have a solid foundation in pharmacology to make informed decisions and provide quality patient care.

Correct Answer: C

Rationale: In this scenario, option C: "I can't wait to get back to my regular weightlifting class," is the most concerning comment regarding post-operative stapedectomy instructions. Engaging in weightlifting places significant strain on the body, including the head and neck, which can jeopardize the healing process and potentially lead to complications, such as dislodging the surgical site or causing bleeding. Option A, regarding swimming lessons in a couple of months, and option B, mentioning a long overseas flight in several weeks, are less concerning as long as the client follows proper precautions, such as avoiding water entry into the ear canal and using ear protection during air travel to prevent pressure changes. Option D, stating coughing with the mouth open, is also a concern post-stapedectomy as it can increase the risk of introducing infection into the surgical site. However, the risk is lower compared to the physical strain associated with weightlifting. From an educational perspective, it is crucial for clients to understand and adhere to post-operative instructions to promote optimal healing and prevent complications. Educators must emphasize the importance of avoiding activities that can jeopardize the surgical site integrity and overall recovery process. Clients should be encouraged to consult healthcare providers if they have any doubts or concerns about their post-operative instructions to ensure a smooth recovery.