West Visayas State University

COLLEGE OF NURSING
La Paz, Iloilo City

POST TEST IN MENIERE’S DISEASE

Name: ________________________ Year & Section: ____ Date: __________ Score: ______

MULTIPLE CHOICE
Directions: Read the questions carefully. Write the correct answer in CAPITAL LETTER
before the number.

_____ 1. The risk for Meniere’s Disease is increased when a client:

a. has a history of peptic ulcer
b. consumes high doses of estrogen and progestin
c. eats a low-sodium diet
d. has hypothyroidism

_____ 2. The removal of the inner ear sense organ is known as:
labyrinthectomy
endolymphatic sac decompression
middle and inner ear perfusion
vestibular neurectomy

_____ 3. To suppress the illusion of motion, antihistamines may be used, which include all of
the following drugs EXCEPT:
cyclizine
phenothiazines
dimenhydrinate
promethazine

_____ 4. A diagnostic procedure which involves recording the electrical activity of the inner
ear in response to sound is:
magnetic resonance imaging
electronystamography
electrocochleography
caloric stimulation

_____ 5. In instilling otic drops, the dropper should be held:

a. ½ cm above the ear canal
b. 1 cm above the ear canal
c. 1 in above the ear canal
d. 2 in above the ear canal

II. ENUMERATION
Directions: Answer the following questions. Write your answer on the space provided.

A. Give the triad of symptoms of Meniere’s Disease.

1. _____________________________________
2. _____________________________________
3. _____________________________________
 B. Give three factors that may possibly cause Meniere’s Disease.
4. _____________________________________
5. _____________________________________
6. _____________________________________

C. Give three possible nursing diagnoses associated with Meniere’s Disease

7. _____________________________________
8. _____________________________________
9. _____________________________________

III. MATCHING TYPE

Directions: Match column A with column B. Write the correct answer in CAPITAL LETTER
before the number.

COLUMN A COLUMN B

A. Surgical Management

_____ 1. Endolymphatic Sac Decompression A. Administration of

_____ 2. Labyrinthectomy ototoxic medications, such as
_____ 3. Intraotologic Catheters streptomycin or gentamicin, into
_____ 4. Vestibular Neurectomy the middle and inner ear by
infusion
B. Selectively
severing a nerve from the
affected inner ear organ
C. Provide a channel
from the outer ear to the inner
ear to deliver medication
directly to the inner ear
D. Equalizes the pressure in
the endolymphatic sac
E. Sacrifices hearing
and is reserved for patients with
nonfunctional hearing in the
affected ear

B. Diagnostic Procedures
F. A precise and objective
_____ 5. Rotational Tests
diagnostic method of evaluating
_____ 6. Caloric Stimulation
nystagmus eye movements
_____ 7. Electronystamography
G. Involves rotation using a
rotatable chair or motor-driven
platform
H. Recording the electrical
activity of the inner ear in
response to sound
I. Involves elevating the head 30
degrees and irrigating each
external auditory canal
separately with 30 to 50 ml ice
water
 ANSWER KEY

I. MULTIPLE CHOICE
D. has hypothyroidism
A. labyrinthectomy
B. phenothiazines
C. electrocochleography
B. 1 cm above ear canal

II. ENUMERATION
A. Triad of Symptoms
1. Vertigo
2. Hearing loss
3. Tinnitus

B. Possible Causes of Meniere’s Disease (3 answers only)

1. Viral infection of the inner ear
2. Head injury/Trauma
3. Immune disease
4. Endocrine Disorders (adrenal-pituitary insufficiency and hypothyroidism)
5. Vascular Disorders
6. Autonomic nervous system dysfunction producing a temporary constriction of blood
vessels supplying the inner ear
7. Overproduction or decreased absorption of endolymph

C. Nursing Diagnoses (3 answers only)

1. Risk for Injury related to tendency to lose balance
2. Risk for Fluid Volume Deficit related to decreased oral intake and loss of fluid through
emesis
3. Risk for Trauma related to impaired balance
4. Self-Care Deficit: Feeding, Bathing/Hygiene, Dressing/Grooming, Toileting related to
labyrinth dysfunction and episodes of vertigo
5. Impaired Adjustment related to a required change in lifestyle
6. Anxiety related to threat of, or change in, health status and disability effects of vertigo
7. Powerlessness related to feelings of loss of control

III. MATCHING TYPE

A. Surgical Management
1. Endolymphatic Sac Decompression – D. Equalizes the pressure in the endolymphatic sac
2. Labyrinthectomy – E. Sacrifices hearing and is reserved for patients with nonfunctional
hearing in the affected ear
3. Intraotologic Catheters – C. Provide a channel from the outer ear to the inner ear to deliver
medication directly to the inner ear
4. Vestibular Neurectomy – B. Selectively severing a nerve from the affected inner ear organ

B. Diagnostic Procedures
1. Rotational Tests – G. Involves rotation using a rotatable chair or motor-driven platform
2. Caloric Stimulation – I. Involves elevating the head 30 degrees and irrigating each external
auditory canal separately with 30 to 50 ml ice water
3. Electronystamography – F. A precise and objective diagnostic method of evaluating
nystagmus eye movements