Page 1953 - Saunders Comprehensive Review For NCLEX-RN

A priority nursing intervention in the care of

a client with Meniere’s syndrome is instituting safety
measures.
2. Causes
a. Any factor that increases
endolymphatic secretion in the
labyrinth
b. Viral and bacterial infections
c. Allergic reactions
d. Biochemical disturbances
e. Vascular disturbance, producing
changes in the microcirculation in the
labyrinth
f. Long-term stress may be a contributing
factor.
3. Assessment
a. Feelings of fullness in the ear
b. Tinnitus, as a continuous low-pitched
roar or humming sound, that is present
much of the time but worsens just
before and during severe attacks
c. Hearing loss that is worse during an
attack
d. Vertigo; that is, a sensation of whirling
that might cause the client to fall to the
ground
e. Vertigo that is so intense that even
while lying down, the client holds the
bed or ground in an attempt to prevent
the whirling
f. Nausea and vomiting
g. Nystagmus
h. Severe headaches

4. Nonsurgical interventions

a. Prevent injury during vertigo attacks.
b. Provide bed rest in a quiet
environment.
c. Provide assistance with walking.
d. Instruct the client to move the head
slowly to prevent worsening of the
vertigo.
e. Initiate sodium and fluid restrictions as
prescribed.
f. Instruct the client to stop smoking.
g. Instruct the client to avoid watching
television because the flickering of

1953