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HIC III EXAM 3 QUESTIONS AND ANSWERS |100% PASS

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HIC III EXAM 3 QUESTIONS AND ANSWERS |100% PASS An 81-year-old patient diagnosed with septic shock has been in the critical care unit for 6 days. The patient was extubated yesterday but still requires blood pressure medication support (i.e. norepinephrine at 10 mcg/min). They become increasingl...

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  • October 2, 2024
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  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • HIC virginia
  • HIC virginia
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EmillyCharlotte
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FIRST PUBLISH SEPTEMBER 2024




HIC III EXAM 3 QUESTIONS AND
ANSWERS |100% PASS

An 81-year-old patient diagnosed with septic shock has been in the critical care unit for 6 days. The

patient was extubated yesterday but still requires blood pressure medication support (i.e.

norepinephrine at 10 mcg/min). They become increasingly confused over the last 24 hours. Which of the

following would be an appropriate intervention?


a. Arrange for periods of uninterrupted sleep.


b. Arrange for a psychiatric consult.


c. Request a prescription for sedation.


d. Request that she be transferred out of the critical care unit. - Answer✔✔-a. Arrange for periods of

uninterrupted sleep.


Delirium - Answer✔✔-Disturbance in attention


Abrupt onset with periods of lucidity


Disorganized thinking


Poor executive functioning


Disorientation


Anxiety and agitation


Poor recall

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,EMILLYCHARLOTTE 2024/2025 ACADEMIC YAER ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISH SEPTEMBER 2024


Delusions and hallucinations (usually visual)


Confusion Assessment Method (CAM)


Dementia - Answer✔✔-Progressive deterioration of cognitive functioning and global impairment of

intellect


Difficulty with memory, problem solving, and complex attention


Disturbances in executive functioning


Aphasia: Loss of language ability


Apraxia: Loss of purposeful movement


Agnosia: Loss of sensory ability to recognize objects


Mini-Mental Status Exam (MMSE)


Alzheimer's Drugs - Answer✔✔-Cholinesterase inhibitors (slow the destruction of acetylcholine)


-Donepezil (Aricept)


-Galantamine (Razadyne)


-Rivastigmine (Exelon)




Glutamate-blocking agent


-Memantine(Namenda, Namenda XR)




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, EMILLYCHARLOTTE 2024/2025 ACADEMIC YAER ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISH SEPTEMBER 2024


A patient with Alzheimer's Disease attempts to brush their teeth with a spoon. Which problem is

evident?


A. Aphasia


B. Apraxia


C. Agnosia


D. Perseveration - Answer✔✔-C. Agnosia


A patient with dementia tries to refer to the electric bill, but ends up saying, "you know, the invitation.

The invitation". What is this a sign of?


A. Aphasia


B. Apraxia


C. Agnosia


D. Perseveration - Answer✔✔-A. Aphasia


agnosia - Answer✔✔-loss of the ability to recognize what objects are and what they are used for


aphasia - Answer✔✔-loss of language ability


apraxia - Answer✔✔-inability to perform tasks or movements on command


perseveration - Answer✔✔-repetition of a word or phrase, regardless of whether a stimulus is present or

removed




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