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Question:
A client newly diagnosed with Meniere's disease plans a trip to an amusement
park with the family. The client asks the clinic nurse which of the following
rides is best. The nurse should suggest which of the following rides?
A) Roller coaster
B) Ferris wheel
C) Train
D) Spinning teacups
Answer: C) Train
Rationale: Meniere's disease is a disorder of the inner ear characterized by
episodes of vertigo, tinnitus, hearing loss, and a feeling of fullness in the ear.
Activities that involve spinning, rapid changes in direction, or sudden stops can
trigger or worsen vertigo. The train ride is the least stimulating option and
poses the lowest risk of provoking symptoms. The roller coaster, Ferris wheel,
and spinning teacups all involve movements that could exacerbate vertigo.
Question:
A client is discharged from the hospital after coronary bypass (CABG) surgery
3 days ago. During discharge teaching, the client asks the nurse "When can I
resume sexual intercourse with my wife?" it is best for the nurse to make
which of the following statements?
A) "You can resume sexual activity when you feel ready."
B) "You can resume sexual activity in about 2 weeks."
C) "You can resume sexual activity when you are able to walk one block without
chest pain or discomfort."
, D) "You should wait at least 6 weeks before resuming sexual activity."
Answer: C) "You can resume sexual activity when you are able to walk one
block without chest pain or discomfort."
Rationale: After cardiac surgery, patients need guidance on when it is safe to
resume sexual activity. The general guideline is that if a patient can walk up two
flights of stairs or one block without experiencing chest pain, shortness of
breath, or excessive fatigue, the cardiac workload of sexual activity is likely
safe. This provides a concrete, measurable goal for the patient. Vague
timelines or feelings are not evidence-based guidelines.
Question:
A woman complains to the nurse about the care provided to her husband by the
nursing staff the previous night. Initially, the nurse should take which of the
following actions?
A) Apologize for the staff's behavior
B) Ask the wife to voice her expectations about a solution to the problem
C) Explain why the care was provided in that manner
D) Report the complaint to the nurse manager immediately
Answer: B) Ask the wife to voice her expectations about a solution to the
problem
Rationale: When a family member complains about care, the initial nursing
action should be to listen actively and seek to understand the specific concerns
and what the family member hopes will happen to resolve the situation. Asking
about expectations helps clarify the issue and opens a dialogue for problem-
solving. Apologizing may be appropriate later, but first, the nurse needs to
understand the full scope of the complaint. Explaining care without
understanding the concern can seem defensive.