Question

A graduate nurse is assessing a client with meniere's disease and a positive romberg's sign. What is the nurse's highest priority when delivering care?

Answer 1

The nurse's highest priority when delivering care is to place the client on fall precautions.

Vertigo and hearing loss are two symptoms of the inner ear ailment Meniere's disease.

When you experience a loss of balance when you close your eyes during the test, the Romberg test is considered positive.

Guidelines and processes that have been modified to identify people who are at risk of falling and to give preventive measures to lower that risk in turn reducing falls and injuries connected to falls are referred to as fall precautions.

Some Universal fall precautions are:

1) Introduce the client to the surroundings.

2) Ask the client to exhibit calling light use.

3) Keep your call light handy.

4) Keep the client's personal items within easy reach of the client.

5) In the client's bathroom, room, and hallway, install strong railings.

Hence, the nurse's highest priority when delivering care is to place the client on fall precautions.

Learn more about Meniere's diseases here brainly.com/question/6803165

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