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Maryville NURS 623 Exam 4
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Maryville NURS 623 Exam 4
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Maryville NURS 623 Exam 4What is important to note when a patient has traumatic injury - ANSWER If taking
Blood Thinners
Define delirium - ANSWER Underlying acute cause, abrupt onset, hours to days,
reversible, hallucinations, incoherent speech, confusion
Define Dementia - ANSWER Various causes, gradual change with mental status,
months to years, progressive to irreversible (speech, memory, mood, judgment)
An older adult with delirium would present with what type of behaviors? - ANSWER
Agitation and restlessness
At the onset of alzheimers, what category of medications should be initiated? -
ANSWER Cholinesterase inhibitors
what factors contribute to a patient being high risk for falls? - ANSWER History of
falls
medications
vision impairment
heart rate/rhythm abnormalities
footwear issues
home environment
gait/mobility issues
poor reflexes
What is the primary reason people have long term effects after a Stroke - ANSWER
living at home and calling PCP instead of 911 leads to prolonged stroke symptoms
and long term effects
S/S of an Absense Seizure - ANSWER Blank stare (upward rotation of eye)
Red Flags of back/neck pain - ANSWER Incontinence
Fever
Cancers
Unexplained wt loss
Long term steroids
Trauma
IV drug abuse
Intense local pain
No comfy Position
Diagnosing of Alzheimer's - ANSWER Impaired ability to learn new info along with a
disturbance in language, function, or perception
S/S of Alzheimer's - ANSWER *C/O memory problems
* ↑ cognitive difficulty
* ↑ slow response to cognitive challenge
, *Word-finding difficulty
* ↑ difficulty with simple tasks
cardinal features of Parkinson's (TRAP)? - ANSWER *T-remor at rest (or pill rolling)
*R-igidity
*A-kinesia/Bradykinesia
*P-ostural Disturbances
What disease is "freezing phenomenon" a characteristic of? - ANSWER
Parkinson's
A 62 y/o patient calls and c/o of a headache what statement would cause the most
concern? - ANSWER It's the worst headache I've ever had
the headache from a subdural hematoma is of venous origin, typically resulting from
ahead injury that is usually mild and easily forgotten by the patient. - ANSWER
Temporal arteritis
s/s of temporal (giant cell) arteritis - ANSWER * unilateral HA (temporal artery,
orbital)
* jaw claudication (pain with chewing)
* temporary blindness
(Medical Urgency) Polymyalgia rheumatica (pain/stiff muscles shoulders and hips)
What age group is at higher risk for temporal arteritis - ANSWER >50
Clinical manifestations of Articular disorders? - ANSWER *characterized by deep or
diffuse pain, pain or limited ROM on active and passive movement
*swelling
*crepitus
Clinical manifestations of Non-Articular disorders? - ANSWER *Tend to be painful
on active but not passive (assisted) ROM.
*Seldom demonstrate swelling, crepitus, instability, or deformity by itself.
What diagnostic assessment is most useful in a patient who presents with lumbar
radiculopathy? - ANSWER The straight leg raise (assesses L5-S1). pain would
indicate most common disc herniation
What cranial nerve is affected in Bell's Palsy? - ANSWER CN VII
S/S of Bell's Palsy - ANSWER * Acute onset one-sided Facial paralysis with normal
ocular movement and sensation
* Affects CN VII (facial)-VII(vestibulocochlear)
* Loss of taste (dysgeusia)
* Postauricular pain
* Sound sensitivity (hyperacusis)
* Heavy feeling in face
How is Bell's Palsy diagnosed? - ANSWER Clinical history and exam
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