NUR2755 / NUR 2755 Final Exam : Multidimensional Care IV / MDC 4 - Rasmussen
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NUR2755 / NUR 2755 Final Exam
: Multidimensional Care IV /
MDC 4 - Rasmussen
Alzheimer's Mild Stage Correct Answer: -Forgets names; misplaces household items
-Has short-term memory loss and difficulty recalling new information
-Shows subtle changes in personality and behavior
Alzheimer's...
nur2755 nur 2755 final exam multidimensional care iv mdc 4 rasmussen
nur2755 nur 2755 final exam
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NUR2755 / NUR 2755 Final Exam
: Multidimensional Care IV /
MDC 4 - Rasmussen
Alzheimer's Mild Stage Correct Answer: -Forgets names; misplaces household items
-Has short-term memory loss and difficulty recalling new information
-Shows subtle changes in personality and behavior
Alzheimer's Moderate Stage Correct Answer: -Is disoriented to time, place, and event
-Has difficulty driving and gets lost
-Incontinent
-Psychotic behaviors, such as delusions, hallucinations, and paranoia
-Episodes of wandering, trouble sleeping
Alzheimer's Late Stage Correct Answer: -Totally incapacitated; bedridden
-Totally dependent in ADLs
-Has agnosia
-Hallucinations
-Incontinence
-Difficulty eating
Apraxia Correct Answer: Difficulty with motor planning to perform tasks or movements
Aphasia Correct Answer: Inability to speak or understand language
Anomia Correct Answer: Inability to recall the names of everyday objects
Agnosia Correct Answer: Loss of sensory comprehension, including facial recognition
Alzheimer's diagnostics Correct Answer: -No laboratory test can confirm the diagnosis of AD
-Definitive diagnosis is made on the basis of brain tissue examination at autopsy, which confirms the
presence of neurofibrillary tangles and neuritic plaques
Parkinson's symptoms Correct Answer: -Slow, shuffling, and propulsive gait
-RESTING tremors
-Muscle rigidity
-Bradykinesia/akinesia (loss of ability to move muscles voluntarily)
-Mask Like face
-Drooling
-Postural instability
,Parkinson's diagnostics Correct Answer: -Diagnosis typically made based on manifestations, their
progression, and by ruling out other disease
-Analysis of CSF may show a decrease in dopamine levels
Aura symptoms Correct Answer: -Visual disturbances
-Flashing lights/lines/spots
-Numbness of lips or tongue
-Acute confused state
-Aphasia
-Vertigo
-Unilateral weakness*
-Offensive smell
-"Deja vu" feeling
Multiple sclerosis clinical manifestations Correct Answer: -Muscle weakness and spasticity
-Intention tremors (tremor when performing an activity)
-Diplopia (double vision)
-Nystagmus (an involuntary condition in which the eyes make repetitive uncontrolled movements)
-Depression/labile
Multiple sclerosis diagnosis Correct Answer: MRI of the brain and spinal cord demonstrates the
presence of plaques in at least 2 areas
Appearance of CSF: cloudy (bacterial) or clear (viral)
Prevention of meningitis Correct Answer: Meningococcal vaccine
Droplet precautions Correct Answer: -Private room
-Stay at least 3 feet away from the patient unless wearing a mask
-Patients who are transported outside the room should wear a mask
-Health care personnel should wear gloves, gown, and mask
Tonic-clonic seizure Correct Answer: Generalized seizure in which the patient loses consciousness and
has both stiffening of the muscles (tonic) and rhythmic jerking of the extremities (clonic)
Tonic seizure Correct Answer: Clients suddenly lose consciousness and experience sudden increased
muscle tone, loss of consciousness, and have autonomic manifestations
Clonic seizure Correct Answer: Only the clonic phase is experienced (rhythmic jerking of the extremities)
Myoclonic seizure Correct Answer: Lasting only seconds, myoclonic seizures consist of brief jerking or
stiffening of the extremities, which can be symmetrical or asymmetrical
Atonic or akinetic seizure Correct Answer: Characterized by a few seconds in which muscle tone is lost
Complex partial seizure Correct Answer: -Seizures associated with automatisms (behaviors that the
client is unaware of, such as lip smacking or picking at clothes)
-Can cause loss of consciousness
Simple partial seizure Correct Answer: Seizure where consciousness is maintained
Seizure interventions Correct Answer: -Turn the patient on their side
-Remove objects that may injure the patient
-Suction as needed
-Oxygen
-Padded side rails
-IV access (saline lock)
-Bed in lowest position
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