Kaplan Exit Exam 2022/2023 WITH COMPLETE SOLUTIONS

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Meniere's disease Disorder of inner ear - Cause by dilation of the endolymphatic system Meniere's disease - Pathophysiology - Excess lymph fluid in inner ear - Obstructs inner ear - Swelli... ng within labyrinth - Distorts sound and balance signals Meniere's disease - S/Sx - Tinnitus - Unilateral hearing loss - Vertigo - Headache - N/V - Diaphoresis Meniere's disease - Diagnostic - + Romberg test - + Caloric stimulation test - Audiometry - Vestibular tests - Neurological exam - Glycerol test Meniere's disease - Tx - Salt & fluid restriction to decrease endolymphatic fluid - Medications: antihistamines, anticholinergics, benzodiazepines, antivertigo medication, diuretics - Bed rest, slow position changes - Surgery to control vertigo w/o damage to hearing, transection of vestibular nerve Meniere's disease - Nursing Diagnosis - Disturbed sensory perception due to dizziness, tinnitus, & imbalance - Anxiety about risk of falling & unpredictable patterns of vertigo - Potential for injury Heat therapy - Promotes vasodilation, decreases blood viscosity, increases metabolism of tissues, increases capillary permeability - Should not be applied for longer than 20-30 minutes, or reflex vasoconstriction and tissue congestion can occur Cold therapy - Promotes vasoconstriction, increases blood viscosity, decreases metabolism of tissues, has local anesthetic effect, decreases edema/pain/inflammation - Decreases muscle tension - Should not be applied for longer than 20 minutes or reflex vasodilation can occur Somatization disorder Marked by several, often vague, physical symptoms that suggest a physical disorder but have no physical basis Somatization disorder - Pathophysiology - Physical problems involve all body systems - Often become frustrated w/ the primary HCP - Shop around until they find one who will give then a new medication or treatment - Typically undergo multiple surgeries [Show More]

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