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West Visayas State University COLLEGE OF NURSING La Paz, Iloilo City POST TEST IN MENIERE’S DISEASE

West Visayas State University

COLLEGE OF NURSING

La Paz, Iloilo City

West Visayas State University COLLEGE OF NURSING La Paz, Iloilo City POST TEST IN MENIERE’S DISEASE

POST TEST IN MENIERE’S DISEASE

Name:

________________________

Year & Section:

____

Date:

__________

Score: ______

MULTIPLE CHOICE Directions: Read the questions carefully. Write the correct answer in CAPITAL LETTER before the number.

1.

The risk for Meniere’s Disease is increased when a client:

  • a. has a history of peptic ulcer

  • b. consumes high doses of estrogen and progestin

  • c. eats a low-sodium diet

  • d. has hypothyroidism

2.

The removal of the inner ear sense organ is known as:

3.

To suppress the illusion of motion, antihistamines may be used, which include all of the following drugs EXCEPT:

cyclizine

phenothiazines

dimenhydrinate

promethazine

4.

A diagnostic procedure which involves recording the electrical activity of the inner ear in response to sound is:

magnetic resonance imaging electronystamography electrocochleography caloric stimulation

_____

5.

In instilling otic drops, the dropper should be held:

  • a. ½ cm above the ear canal

  • b. 1 cm above the ear canal

  • c. 1 in above the ear canal

  • d. 2 in above the ear canal

II.

ENUMERATION Directions: Answer the following questions. Write your answer on the space provided.

A. Give the triad of symptoms of Meniere’s Disease.

1.

 

_____________________________________

2.

 

_____________________________________

3.

 

_____________________________________

  • B. Give three factors that may possibly cause Meniere’s Disease.

4.

_____________________________________

5.

_____________________________________

6.

_____________________________________

  • C. Give three possible nursing diagnoses associated with Meniere’s Disease

7.

_____________________________________

8.

_____________________________________

9.

_____________________________________

III. MATCHING TYPE Directions: Match column A with column B. Write the correct answer in CAPITAL LETTER

before the number.

COLUMN A

  • A. Surgical Management

1. Endolymphatic Sac Decompression 2. Labyrinthectomy 3. Intraotologic Catheters 4. Vestibular Neurectomy

B. Diagnostic Procedures

5. Rotational Tests 6. Caloric Stimulation 7. Electronystamography

COLUMN B

  • A. Administration of

ototoxic medications, such as

streptomycin or gentamicin, into the middle and inner ear by infusion

  • B. Selectively

severing a nerve from the affected inner ear organ

  • C. Provide a channel

from the outer ear to the inner

ear to deliver medication directly to the inner ear

  • D. Equalizes the pressure in

the endolymphatic sac

  • E. Sacrifices hearing

and is reserved for patients with

nonfunctional hearing in the affected ear

  • F. A precise and objective diagnostic method of evaluating nystagmus eye movements

  • G. Involves rotation using a rotatable chair or motor-driven platform

  • H. Recording the electrical activity of the inner ear in response to sound

  • I. Involves elevating the head 30 degrees and irrigating each external auditory canal separately with 30 to 50 ml ice water

  • I. MULTIPLE CHOICE

  • D. has hypothyroidism

  • A. labyrinthectomy

  • B. phenothiazines

  • C. electrocochleography

  • B. 1 cm above ear canal

II. ENUMERATION

  • A. Triad of Symptoms

    • 1. Vertigo

    • 2. Hearing loss

    • 3. Tinnitus

ANSWER KEY

  • B. Possible Causes of Meniere’s Disease (3 answers only)

    • 1. Viral infection of the inner ear

    • 2. Head injury/Trauma

    • 3. Immune disease

    • 4. Endocrine Disorders (adrenal-pituitary insufficiency and hypothyroidism)

    • 5. Vascular Disorders

    • 6. Autonomic nervous system dysfunction producing a temporary constriction of blood vessels supplying the inner ear

    • 7. Overproduction or decreased absorption of endolymph

  • C. Nursing Diagnoses (3 answers only)

    • 1. Risk for Injury related to tendency to lose balance

    • 2. Risk for Fluid Volume Deficit related to decreased oral intake and loss of fluid through emesis

    • 3. Risk for Trauma related to impaired balance

    • 4. Self-Care Deficit: Feeding, Bathing/Hygiene, Dressing/Grooming, Toileting related to labyrinth dysfunction and episodes of vertigo

    • 5. Impaired Adjustment related to a required change in lifestyle

    • 6. Anxiety related to threat of, or change in, health status and disability effects of vertigo

    • 7. Powerlessness related to feelings of loss of control

  • III. MATCHING TYPE

    • A. Surgical Management

      • 1. Endolymphatic Sac Decompression – D. Equalizes the pressure in the endolymphatic sac

      • 2. Labyrinthectomy – E. Sacrifices hearing and is reserved for patients with nonfunctional hearing in the affected ear

      • 3. Intraotologic Catheters – C. Provide a channel from the outer ear to the inner ear to deliver medication directly to the inner ear

      • 4. Vestibular Neurectomy – B. Selectively severing a nerve from the affected inner ear organ

  • B. Diagnostic Procedures

    • 1. Rotational Tests – G. Involves rotation using a rotatable chair or motor-driven platform

    • 2. Caloric Stimulation – I. Involves elevating the head 30 degrees and irrigating each external auditory canal separately with 30 to 50 ml ice water

    • 3. Electronystamography – F. A precise and objective diagnostic method of evaluating

  • nystagmus eye movements