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NURS 623 exam 4- Questions and Answers 100% Pass
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NURS 623 exam 4- Questions and Answers 100% Pass
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NURS 623 exam 4- Questions and Answers 100% PassWhat are s/s of temporal arteritis? Correct Ans-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? Correct Ans-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.
What are non-articular bone structures? Correct Ans-Supportive structures such as
tendons, bursae, muscles, fascia, bone, nerve, overlying skin. Tend to be painful on active but
not passive (assisted) ROM. Seldom demonstrate swelling, crepitus, instability, or deformity
by itself.
What dx test is most useful in patient who presents with lumbar radiculopathy? Correct
Ans-The straight leg raise (assesses L5-S1). This is best initial diagnostic because the most
common disc herniation is at L5-S1. Straight leg raise will cause sciatica and radicular pain.
In older adults, how can you increase physical activity-things you can encourage or are there
certain underlying factors that would enable a patient to be more successful? Correct Ans-
Ensure the patient is motivated
, NURS 623 exam 4- Questions and Answers 100% Pass
What are s/s of bells palsy? (cranial nerve VII) Correct Ans-Facial paralysis with normal
ocular movement and sensation. Loss of taste (dysgeusia). Postauricular pain. Sound
sensitivity (hyperacusis). Heavy feeling in face.
What are the demographics/people effected by bells palsy? Correct Ans-Anyone at any
age. It occurs most often in pregnant women, and people who have diabetes, influenza, a
cold, or another upper respiratory ailment. Bell's palsy affects men and women equally. It is
less common before age 15 or after age 60.
What is the testing for bells palsy? Correct Ans-There's no specific test for it. Your doctor
will look at your face and ask you to move your facial muscles by closing your eyes, lifting
your brow showing your teeth and frowning, among other movements.
What is the treatment for Bells palsy? Correct Ans-Prevent eye injury, acyclovir,
Prednisone, NSAIDs for pain, rest decreased auditory stimulation. Self limiting, recovery in a
few weeks or months.
What are the typical demographics of a patient with MS (what type of person does this
disease normally effect) Correct Ans-Young, caucasion female of eastern European desent
At the onset of alzheimers, what category of medications should be initiated Correct Ans-
Cholinesterase inhibitors
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