Author Question: A 30-year-old woman has presented to her family doctor complaining of three distressing episodes ... (Read 81 times)

Mr3Hunna · **on:** Jun 25, 2018

A 30-year-old woman has presented to her family doctor complaining of three distressing episodes over the last several months during which she got extremely dizzy, had loud ringing in her ears, and felt like her ears were full of fluid.

She states that her hearing diminishes, and she feels nauseous during these episodes. What diagnosis is the physician most likely to first suspect?
A)
Acute otitis media
B)
Acute vestibular neuronitis
C)
Benign paroxysmal positional vertigo (BPPV)
D)
Mnire disease

Question 2

A 5-year-old boy has starting sitting up in bed displaying signs of extreme anxiety. In the morning, when the parents ask the boy about this, he has no recollection. What should the nurse convey to the parents if this happens again?

A)
Assist the boy in settling down without awakening him after an episode.
B)
Watch him closely to see if he has any twitching or thrashing about.
C)
Bring him back to the clinic if this keeps happening, so we can prescribe some sleep medicine.
D)
Shake him to wake him up, and then comfort him and put him back in bed.

cassie_ragen · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Ans:
D

Feedback:

Mnire disease is characterized by fluctuating episodes of tinnitus, feelings of ear fullness, and violent rotary vertigo that often renders the person unable to sit or walk. There is a need to lie quietly with the head fixed in a comfortable position, avoiding all head movements that aggravate the vertigo. Symptoms referable to the autonomic nervous system, including pallor, sweating, nausea, and vomiting, usually are present. The more severe the attack, the more prominent are the autonomic manifestations. A fluctuating hearing loss occurs with a return to normal after the episode subsides. Her symptomatology is not characteristic of AOM, acute vestibular neuronitis, or BPPV.

Answer to Question 2

Ans:
A

Feedback:

Treatment for sleep terrors in children consists primarily of educating and reassuring the family. The child should be assisted in settling down without awakening. The child must be protected if he gets up and walks during these episodes.