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    Ati med surg final proctored exam

    A nurse is caring for the client who has Ménière's disease and asks if he is allowed to ambulate independently. Which of the following responses should the nurse make?

    Explanation & Rationale

    A. "No, you are on strict bedrest and must not be up." is incorrect because clients with Ménière’s disease are not prescribed strict bedrest but need safety precautions due to vertigo. B. "Please ring for assistance when you wish to get out of bed." is correct because Ménière’s disease causes vertigo and balance disturbances, placing the client at risk for falls. Supervised ambulation ensures safety. C. "Yes, you are free to move around as you wish." is incorrect because independent ambulation increases the client’s fall risk. D. "We will have to get a prescription from your provider." is incorrect because the nurse can implement fall precautions without needing a provider’s prescription.

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