The nurse is formulating a plan of care for a client with an acute episode of Ménière's disease. The nurse should give priority to: A. Relieving the client's pain B. Encouraging the fluid intake C. Explaining what triggers an attack D. Preventing injury from falls

Ménière's disease is a disorder of the inner ear that can cause vertigo (dizziness), tinnitus (ringing in the ears), hearing loss, and a feeling of fullness or pressure in the ear. Symptoms may occur suddenly and can be quite debilitating. In an acute episode, the client may experience severe vertigo, causing imbalance and an increased risk of falls.

Now, let's evaluate each option with respect to the symptoms and care priorities for a client with Ménière's disease: A. Relieving the client's pain: While some level of pain or discomfort may be present, it is not the main concern during an acute episode of Ménière's disease. B. Encouraging the fluid intake: Drinking plenty of fluids may help with overall health and hydration, but it is not the primary focus for immediate care in this situation. C. Explaining what triggers an attack: Understanding the triggers can be helpful in preventing future episodes, but it is not the most immediate concern during an acute attack. D. Preventing injury from falls: Given the severe vertigo and potential imbalance experienced by the client, preventing injury from falls should be the top priority.

Based on the evaluation, the correct answer is: D. Preventing injury from falls During an acute episode of Ménière's disease, the client is at high risk for falls due to severe vertigo and imbalance. Therefore, the nurse should prioritize preventing injuries from falls and maintain the client's safety during this critical period.