NURS 623 Exam 4 QUESTIONS with complete Solutions (Latest 2024 Edition)
What are the typical demographics of a patient with MS (what type of person does this disease normally effect)
Young, caucasion female of eastern European desent
At the onset of alzheimers, what category of medications s...
What are the typical demographics of a patient with MS (what type of person
does this disease normally effect)
Young, caucasion female of eastern European desent
At the onset of alzheimers, what category of medications should be initiated
Cholinesterase inhibitors
What factors contribute to a patient being high risk for falls
History of falls, medications, vision impairment, heat rate/rhythm abnormalities,
footwear issues, home environment, gait/mobility issues, poor reflexes.
What classes of antibiotics would need to be renally dosed with a patient with
impaired renal function
Vanc, floroquinolones, and aminoglycosides
What does FAST mean when assessing for s/s of stroke
Face, Arms, Speech, Time
How does an absence seizure present (symptoms)
Sudden onset, blank stare (upward rotation of eye), activity stops and appears
transfixed, few seconds to 1 min
What is the difference between delirium and dementia
First involves underlying acute cause, abrupt onset, hours to days, reversible,
hallucination, incoherent speech, and confusion. The second can have various
causes, gradual change with mental status, months to years, progressive to
irreversible (speech, memory, mood, and judgment).
What are the risk factors for development of a pressure ulcer?
Elderly are most at risk population. Thin skin and less subcutaneous fat along with
less movement create and environment for pressure ulcers.
What are the red flag signs of a patient with low back pain.
Hx trauma, fever, unexplained weight loss, hx cancer, incontinence, long term
steroid use, parental drug abuse, intense localized pain, inability to find comfortable
position, Cadua Equina Syndrome. Always assess radiation of pain, bowel, bladder.
, What are the common bacterial organisms associated with bacterial
meningitis.
Neisseria meningitides (high mortality), haemophilus influenza type B, streptococcus
pneumoniae most common
What are the s/s of alzheimers?
Presence of dementia by clinical exam and MMSE (mini-mental state exam) deficit in
2 or more areas of cognition, progressive worsening of memory and cognitive
function without disturbed consciousness and absence of systemic illness/other brain
disease. Impaired ability to learn new info along with disturbance in language,
function, or perception.
What are the s/s of Parkinsons?
Age >60, tremor at rest (pill rolling), rigidity, bradykinesia, masked face, stopped
posture, shuffling gait, arching (limbs, neck, back), decrease facial dexterity,
dysphagia, orthostatic hypotension, anosmia, depression, cognitive impairment,
freezing phenomenon, cogwheeling, postural instability (advanced disease)
What are the s/s of GB?
Prickling, pins and needles sensations in your fingers, toes, ankles or wrists.
Weakness in your legs that spreads to your upper body. Unsteady walking or
inability to walk or climb stairs. Difficulty with eye or facial movements, including
speaking, chewing or swallowing. Severe pain that may feel achy or cramplike and
may be worse at night. Difficulty with bladder control or bowel function. Rapid heart
rate. Low or high blood pressure. Difficulty breathing.
What are s/s of temporal arteritis?
Jaw claudication (pain with chewing that is relieved when stops chewing), unilateral
pain, temporal area with scalp tenderness; skin over artery is indurated, tender,
warm, and reddened. Amaurosis fugaz (temporary blindness), may occur. Low-grade
fever and fatigue, occurs sometimes. ESR/sed rate (often reaches 100 mm/hr or
more). CRP elevated >50. Medical Urgency: polymyalgia rheumatica common in
these patients, older adults and elder are more common.
What are articular bone structures?
Includes structures like the synovium, synovial fluid, articular cartilage, joint
capsules, and juxta-articular bone. Articular disorders may be characterized by deep
or diffuse pain, pain or limited ROM on active and passive movement, swelling,
crepitus.
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