Patient-Centered Care for Vertigo
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Questions and Answers

What is a primary nursing action when a client is prescribed medications that may cause sedation, such as meclizine?

  • Instruct the client to take the medication on an empty stomach.
  • Encourage the client to increase physical activity levels.
  • Ensure that the client avoids driving or operating heavy machinery. (correct)
  • Monitor the client's blood pressure regularly.

Which of the following medications can potentially lead to urinary retention as a side effect?

  • Meclizine
  • Ondansetron
  • Gentamicin
  • Scopolamine (correct)

What should a nurse monitor when administering ototoxic medications such as gentamicin?

  • Patients' dietary intake
  • Client's intake and output
  • Client’s physical activity levels
  • Blood levels of ototoxic medication and hearing function (correct)

Which medication is contraindicated for clients with certain cardiac rhythm disorders?

<p>Ondansetron (C)</p> Signup and view all the answers

When assessing a client for fall risks, which action should the nurse prioritize?

<p>Evaluate the client's home situation for safety. (B)</p> Signup and view all the answers

What adverse effect should be monitored in clients receiving diuretics like furosemide?

<p>Hypokalemia (A)</p> Signup and view all the answers

Which nursing action is appropriate for clients taking antihistamines for vertigo?

<p>Observe for signs of sedation and take precautions. (C)</p> Signup and view all the answers

What should be included in client education for someone taking scopolamine?

<p>Be aware of the risk of increased eye pressure in glaucoma. (C)</p> Signup and view all the answers

What is a primary action to monitor after a procedure for otosclerosis?

<p>Check for facial nerve damage (C)</p> Signup and view all the answers

How long after surgery is the cochlear implant's external unit typically programmed?

<p>2 to 6 weeks after surgery (A)</p> Signup and view all the answers

Which group of individuals is likely to adapt to cochlear implants more quickly?

<p>Young children (C)</p> Signup and view all the answers

What should be avoided to prevent complications post-surgery for otosclerosis?

<p>Magnetic resonance imaging (MRI) (C)</p> Signup and view all the answers

Which of the following nursing actions is necessary for intervention after otosclerosis surgery?

<p>Monitor for nausea and vomiting (D)</p> Signup and view all the answers

Which exercise technique is beneficial for clients experiencing vertigo?

<p>Positional exercises to terminate an attack (D)</p> Signup and view all the answers

What lifestyle modification should be recommended to help manage vertigo symptoms?

<p>Rest in a serene environment (B)</p> Signup and view all the answers

What is a recommended action for clients to reduce vertigo episodes?

<p>Space fluid intake evenly throughout the day (A)</p> Signup and view all the answers

Which of the following is an essential nursing action when caring for a client with benign paroxysmal vertigo?

<p>Advise moving the head slowly when changing positions (A)</p> Signup and view all the answers

What is the purpose of a tympanostomy tube in treating Ménière's disease?

<p>To apply micropulses to relieve vertigo (C)</p> Signup and view all the answers

Which recommendation should be made regarding fruit consumption for a client with vertigo?

<p>Limit high-potassium fruits only (B)</p> Signup and view all the answers

What is the significance of using assistive devices for clients with vertigo?

<p>They enhance balance and safety (C)</p> Signup and view all the answers

What advice should be provided for maintaining a safe environment for a client with vertigo?

<p>Keep pathways free of obstacles (B)</p> Signup and view all the answers

Flashcards

Ototoxic Medications

Medications that can damage the inner ear.

Antivertigo Medications

Drugs used to treat vertigo (dizziness).

Meclizine

Antihistamine and anticholinergic drug used for vertigo.

Antiemetics

Medications used to treat nausea and vomiting.

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Ondansetron

An antiemetic used for vertigo-related nausea.

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Antihistamines (for vertigo)

Drugs that relieve vertigo and nausea, often through sedation.

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Scopolamine

Anticholinergic drug used for motion sickness and nausea.

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Glaucoma

A condition characterized by increased pressure in the eye, which can damage the optic nerve

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Otosclerosis

A condition where the bones in the middle ear fuse together, causing conductive hearing loss.

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Conductive Hearing Loss

Hearing loss caused by problems with the outer or middle ear, preventing sound waves from reaching the inner ear.

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Cochlear Implant

A device implanted in the inner ear to help people with severe hearing loss hear.

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What is programmed 2-6 weeks after cochlear implant surgery?

The speech processor is programmed 2-6 weeks after surgery to personalize the implant to the patient's hearing needs.

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What precautions should cochlear implant patients take?

Patients should avoid strong magnetic fields like those found in MRIs to prevent damage to the implant.

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Vestibular Rehab

A therapy for vertigo that uses exercises to improve balance and reduce dizziness by retraining the inner ear.

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Vertigo Triggers

Factors that can worsen vertigo, such as caffeine, alcohol, head movements, and stress.

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Postural Education

Teaching clients positions to avoid and exercises to stop vertigo attacks by understanding how movements affect their dizziness.

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Tympanostomy Tube

A small tube inserted into the eardrum to drain fluid from the middle ear and relieve pressure.

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Myringotomy

A surgical procedure to make a small incision in the eardrum to release pressure and fluid buildup.

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Stapedectomy

A surgical procedure to remove and replace the stapes bone in the middle ear, often for hearing loss.

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Pressure Point Treatment

A therapy that uses micropulses applied to the eardrum to relieve vertigo by displacing fluid in the inner ear.

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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

  • Meclizine: Treats vertigo, has antihistamine and anticholinergic effects. Observe for sedation; ensure safe ambulation. Educate patients on sedative effects (avoid driving/heavy machinery).

  • Ondansetron: Antiemetic for nausea/vomiting associated with vertigo. Contraindicated in clients with specific cardiac rhythm disorders. Educate patients to report dizziness or rash.

  • 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.

  • 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.

  • 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

  • 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.

  • 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.

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