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BSN 366 week 7 Dementia and Delirium Questions With Complete Solutions
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BSN 366 week 7 Dementia and Delirium Questions With Complete Solutions
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BSN 366 week 7 Dementia and Delirium Questions WithComplete Solutions
Case Study
A patient, Mr. Cantrell, comes to the clinic because he is
concerned about his health. Two siblings were recently
diagnosed with multi-infarct dementia (vascular dementia). Vital
signs: temperature, 99.0° F; blood pressure, 185/100 mm Hg;
heart rate, 85 beats/min and regular; respiratory rate, 13
breaths/min. Mr. Cantrell is 5'11" tall and weighs 150 lb. He
reports smoking one pack of cigarettes per week for the past 30
years and a diet rich in red meat and carbohydrates. He takes a
30-minute daily walk after dinner. Mr. Cantrell indicates that
with the exception of the multi-infarct dementia, his family
members are in good health. -
Collaborative Care and Nursing Management of Delirium
Question 1 of 3
A 25 year old patient is seen in the emergency department with
acute onset of mental status and behavioral changes and a
diagnosis of new onset delirium has been made. Which
laboratory tests would be included in the evaluation of this
patient, in order to determine the cause?
Select all that apply.
Blood alcohol level
Serum electrolytes
Thyroid function tests
Complete blood count
Urine culture and sensitivity - Blood alcohol level
Acute intoxication with alcohol or other toxins can cause
symptoms of delirium in this patient.
,Serum electrolytes
Both hyponatremia (depleted sodium levels) and hypernatremia
(increased sodium levels), as well as significant increases in
blood urea nitrogen (BUN), can cause symptoms of delirium in
this patient.
Thyroid function tests
Acute hypothyroidism, or myxedema, can cause a patient to
present with clinical symptoms of delirium.
Complete blood count
Acute systemic infection, especially when associated with fever,
can cause symptoms of delirium in this patient.
Degenerative Neurologic Problems
Question 1 of 3
Which factors are believed to contribute to the development of
multiple sclerosis (MS)?
Select all that apply.
Smoking
Genetics
Infection
Radiation
Emotional stress - Smoking
Genetics
Infection
Emotional stress
Hemorrhagic Stroke
,hemorrhagic stroke include neurologic deficits, headache,
nausea, vomiting, decreased level of consciousness (in about
50% of patients), and hypertension. -
Ischemic Stroke
Question 1 of 4
A patient is concerned about the risk for ischemic stroke due to a
medical history of diabetes and hypertension along with a strong
family history of the condition. What advice can the nurse
recommend to minimize the risk of stroke?
Select all that apply.
Avoid pregnancy
Maintain blood glucose
Start an exercise regimen
Cease chemotherapy treatment
Remain on antihypertensive medication - Maintain blood
glucose
The risk for stroke is higher in patients with diabetes mellitus.
Maintaining blood glucose and preventing or controlling
diabetes can minimize risk of stroke.
Start an exercise regimen
Obesity, diabetes, and hypertension are all risk factors for stroke
that can be minimized by starting an exercise regimen to help
keep weight under control.
Remain on antihypertensive medication
Hypertension is the single most important modifiable risk factor
of ischemic stroke. Keeping blood pressure under control by
remaining on antihypertensive medication will minimize risk of
stroke.
, Neurodegenerative Dementia
Question 1 of 3
The nurse understands that which abnormalities are responsible
for the development of Alzheimer's disease?
Select all that apply.
Abscesses
Meningiomas
Atrophied tissue
Amyloid plaques
Neurofibrillary tangles - Amyloid plaques
Deposits of β-amyloid protein are characteristic findings in
Alzheimer's disease and thought to contribute to the cognitive
manifestations.
Neurofibrillary tangles
Neurofibrillary tangles, or abnormal collections of twisted
protein threads, are characteristic findings in Alzheimer's
disease and thought to contribute to the cognitive
manifestations.
Overview of Delirium
Question 1 of 3
A 77-year-old female patient with osteoarthritis is admitted to
the ICU after an emergency surgery. Which factors would make
this patient at risk for developing delirium?
Select all that apply.
Osteoarthritis
ICU environment
Age of the patient
Emergency surgery
Gender of the patient - ICU environment
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