Electronystagmography and Caloric Testing
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Questions and Answers

What is the primary purpose of Electronystagmography (ENG)?

  • To evaluate the function of the vestibular system (correct)
  • To diagnose infections in the ear
  • To measure electrical activity in the brain
  • To assess hearing loss in patients

Which of the following should be avoided by clients prior to undergoing an ENG procedure?

  • Taking prescribed antibiotics
  • Consuming caffeinated beverages (correct)
  • Consuming high-protein meals
  • Engaging in physical exercise

What nursing action is essential during the ENG procedure?

  • Asking simple questions to maintain alertness (correct)
  • Providing distractions through music or videos
  • Reassuring the client to relax and close their eyes
  • Administering sedatives to calm anxiety

Why is caloric testing performed in conjunction with ENG?

<p>To induce nystagmus and assess eye response (B)</p> Signup and view all the answers

Which client condition would preclude the administration of an ENG?

<p>Presence of a pacemaker (B)</p> Signup and view all the answers

Flashcards

ENG procedure

A test that measures involuntary eye movements (nystagmus) to detect vestibular system problems in the ear.

Caloric testing

A method used during ENG to stimulate the ears with warm or cold water to evaluate eye responses.

Pre-procedure restrictions

Fasting, caffeine, alcohol, sedatives, and antihistamines should be avoided before and for days ahead of the test.

Post-procedure care

Client should remain on bed rest, and NPO, until vertigo subsides after ENG or caloric testing.

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Pacemaker and ENG

ENG is avoided on clients with pacemakers to prevent interference from pacemaker signals affecting the testing sensitivity.

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Study Notes

Electronystagmography (ENG)

  • Detects involuntary eye movements (nystagmus) to assess vestibular ear system disease.
  • Electrodes placed near eyes; eye movements recorded during ear canal stimulation (cold water/air injection).
  • Specialist interprets recordings as normal or abnormal.

Nursing Actions (ENG)

  • Ask simple questions (name recall, math problems) during procedure to ensure alertness.
  • Maintain client on bed rest and NPO post-procedure until vertigo resolves.

Client Education (ENG)

  • Fast before procedure and restrict caffeine, alcohol, sedatives, and antihistamines for several days prior.
  • Not performed on pacemaker patients (pacemaker signals interfere).

Caloric Testing

  • Can be performed concurrently with ENG.
  • Water (warmer/cooler than body temperature) instilled in the ear to induce nystagmus.
  • Eye response to cold/warm water is diagnostic for vestibular disorders.

Nursing Actions (Caloric Testing)

  • Client should follow same restrictions as ENG.

Client Education (Caloric Testing)

  • Be aware of restrictions listed for ENG.

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Description

This quiz covers the procedures and nursing actions related to Electronystagmography (ENG) and caloric testing, used to assess vestibular disorders. Key points include client education, preparation requirements, and post-procedure care. Additionally, it addresses the significance of eye movement recordings in diagnosing ear system diseases.

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