Page 1954 - Saunders Comprehensive Review For NCLEX-RN

lights may exacerbate symptoms.
h. Administer nicotinic acid as prescribed
for its vasodilatory effect.
i. Administer antihistamines as prescribed
to reduce the production of histamine
and the inflammation.
j. Administer antiemetics as prescribed.
k. Administer tranquilizers and sedatives
as prescribed to calm the client; allow
the client to rest; and control vertigo,
nausea, and vomiting.
l. Mild diuretics may be prescribed to
decrease endolymph volume.
m. Inform the client about vestibular
rehabilitation as prescribed.

5. Surgical interventions

a. Surgery is performed when medical
therapy is ineffective and the
functional level of the client has
decreased significantly.
b. Endolymphatic drainage and insertion
of a shunt may be an option early in
the course of the disease to assist with
the drainage of excess fluids.
c. A resection of the vestibular nerve or
total removal of the labyrinth (i.e., a
labyrinthectomy) may be performed.
6. Postoperative interventions
a. Assess packing and dressing on the ear.
b. Speak to the client on the side of the
unaffected ear.
c. Perform neurological assessments.
d. Maintain safety.
e. Assist with ambulating.
f. Encourage the client to use a bedside
commode rather than ambulating to
the bathroom.
g. Administer antivertiginous and
antiemetic medications as prescribed.
R. Acoustic neuroma
1. Description
a. A benign tumor of the vestibular or
acoustic nerve
b. The tumor may cause damage to
hearing and to facial movements and
sensations.
c. Treatment includes surgical removal of

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