The nurse is planning care for a patient with severe symptoms of tinnitus, vertigo, sensorineural hearing deficit, nausea, and vomiting. What issue should the nurse identify as a priority for this patient?
1. anticipating future attacks
2. ensuring adequate nutritional intake
3. problems with interpersonal relationships
4. difficulty sleeping
Correct Answer: 1
The symptoms listed are for labyrinthitis and Ménière disease, a disorder of the inner ear that disturbs all balance and coordination of motor skills related to gravitational pulls. Because of the unpredictable nature of attacks, the patient with vertigo due to an inner ear disorder needs to learn strategies for dealing with an acute episode. Although the patient is experiencing nausea and vomiting, there is no evidence that this will be prolonged. There is no evidence that the patient will have problems with interpersonal relationships because of the health problem. Some patients might have difficulty sleeping; however, this is not a priority since the patient is not experiencing a change in sleep at this time.
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