Podcast
Questions and Answers
What is a primary nursing action when a client is prescribed medications that may cause sedation, such as meclizine?
What is a primary nursing action when a client is prescribed medications that may cause sedation, such as meclizine?
Which of the following medications can potentially lead to urinary retention as a side effect?
Which of the following medications can potentially lead to urinary retention as a side effect?
What should a nurse monitor when administering ototoxic medications such as gentamicin?
What should a nurse monitor when administering ototoxic medications such as gentamicin?
Which medication is contraindicated for clients with certain cardiac rhythm disorders?
Which medication is contraindicated for clients with certain cardiac rhythm disorders?
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When assessing a client for fall risks, which action should the nurse prioritize?
When assessing a client for fall risks, which action should the nurse prioritize?
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What adverse effect should be monitored in clients receiving diuretics like furosemide?
What adverse effect should be monitored in clients receiving diuretics like furosemide?
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Which nursing action is appropriate for clients taking antihistamines for vertigo?
Which nursing action is appropriate for clients taking antihistamines for vertigo?
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What should be included in client education for someone taking scopolamine?
What should be included in client education for someone taking scopolamine?
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What is a primary action to monitor after a procedure for otosclerosis?
What is a primary action to monitor after a procedure for otosclerosis?
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How long after surgery is the cochlear implant's external unit typically programmed?
How long after surgery is the cochlear implant's external unit typically programmed?
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Which group of individuals is likely to adapt to cochlear implants more quickly?
Which group of individuals is likely to adapt to cochlear implants more quickly?
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What should be avoided to prevent complications post-surgery for otosclerosis?
What should be avoided to prevent complications post-surgery for otosclerosis?
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Which of the following nursing actions is necessary for intervention after otosclerosis surgery?
Which of the following nursing actions is necessary for intervention after otosclerosis surgery?
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Which exercise technique is beneficial for clients experiencing vertigo?
Which exercise technique is beneficial for clients experiencing vertigo?
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What lifestyle modification should be recommended to help manage vertigo symptoms?
What lifestyle modification should be recommended to help manage vertigo symptoms?
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What is a recommended action for clients to reduce vertigo episodes?
What is a recommended action for clients to reduce vertigo episodes?
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Which of the following is an essential nursing action when caring for a client with benign paroxysmal vertigo?
Which of the following is an essential nursing action when caring for a client with benign paroxysmal vertigo?
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What is the purpose of a tympanostomy tube in treating Ménière's disease?
What is the purpose of a tympanostomy tube in treating Ménière's disease?
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Which recommendation should be made regarding fruit consumption for a client with vertigo?
Which recommendation should be made regarding fruit consumption for a client with vertigo?
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What is the significance of using assistive devices for clients with vertigo?
What is the significance of using assistive devices for clients with vertigo?
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What advice should be provided for maintaining a safe environment for a client with vertigo?
What advice should be provided for maintaining a safe environment for a client with vertigo?
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Study Notes
Patient-Centered Care for Vertigo
- Functional Assessment: Monitor patient's functional ability and balance, implementing fall risk precautions. Assess home safety and fall risks through collaboration with home health services. Encourage slow rising and assistive devices for clients with balance/functional limitations.
Ototoxic Medications
- Monitoring: Regularly monitor blood levels of ototoxic medications (gentamicin, erythromycin, furosemide, ethacrynic acid, aspirin, ibuprofen, cisplatin) and educate clients on potential adverse effects. Routine audiometry is essential when using ototoxic IV antibiotics.
Vertigo Treatment Medications
Antivertigo Medications
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Meclizine: Treats vertigo, has antihistamine and anticholinergic effects. Observe for sedation; ensure safe ambulation. Educate patients on sedative effects (avoid driving/heavy machinery).
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Ondansetron: Antiemetic for nausea/vomiting associated with vertigo. Contraindicated in clients with specific cardiac rhythm disorders. Educate patients to report dizziness or rash.
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Diphenhydramine and Dimenhydrinate: Effective antihistamines for vertigo and nausea. Observe for urinary retention, sedation (safe ambulation precautions). Educate patients on sedative effects (avoid driving/heavy machinery) and expected dry mouth.
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Scopolamine: Anticholinergic, treats nausea (including motion sickness), available transdermally. Observe for urinary retention, sedation (safe ambulation precautions). Educate patients on sedative effects (avoid driving/heavy machinery) and expected dry mouth.
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Diazepam: Benzodiazepine with sedative effects that reduces cerebellar stimuli, used off-label for acute vertigo. Observe for sedation and ensure safe ambulation. Restrict use in closed-angle glaucoma. Prescribe lowest effective dose for older adults to prevent oversedation/ataxia. Educate patients on sedative effects (avoid driving/heavy machinery), addictive properties, and appropriate medication use.
Nursing Actions and Client Education
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General Precautions: For all antivertigo medications, educate patients/families about the potential for sedation and instruct them to avoid driving or operating heavy machinery. Monitor for and document any observed side effects.
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Specific Considerations: Monitor clients for issues specific to each medication (e.g., urinary retention with anticholinergics, cardiac issues with ondansetron, glaucoma/older adult considerations with diazepam). Educate on reporting any unusual symptoms like dizziness or skin rashes.
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Description
This quiz covers essential aspects of patient-centered care for individuals experiencing vertigo, including functional assessments, monitoring ototoxic medications, and treatment options. Gain knowledge on the proper management techniques and the importance of safety precautions to enhance patient outcomes.
