NSG552 SCRIPT 2026 FULL CORRECT
ANSWER SET
◉delirium. Answer: Medical Emergency
Reversible
40% mortality rates
Commonly experienced by elderly patients in the ICU and post-op
Develops over hours to days=Acute
Subtypes: Hyperactive(agitated, restless, hyperalert,
Hypoactive(lethargy, slowed, apathetic)
Mixed(cycles b/n hyperactive and hypoactive)
Causes: DELIRIUM(Drugs, Electrolyte imbalance, low 02 levels,
Infection, reduced sensory input, intracranial(strokes), Urinary
retention, Myocardial)
Treatments: 1:1 sitter
Agitation and psychotic symptoms
Haldol(PO,IM, IV) atypical antipsychotics)
◉Dementia. Answer: group of symptoms marked by memory loss
and loss of other cognitive functions such as perception, thinking,
reasoning, and remembering
-Irreversible
, ◉Alzheimer's disease. Answer: -Gradual progressive decline
-The most common type
-Affects memory, learning, and language
-Aphasia(difficulty with speech
-Apraxia(inability to perform previous learned tasks)
-Agnosia(inability to recognize an object)
Etiology: Accumulation of beta-amyloid plaques and intraneuronal
tau protein tangles
Txt: Cholinesterase inhibitors
NMDA receptor antagonists
◉vascular disease. Answer: 2nd most common
Cognitive decline secondary to large vessel strokes
Risk factors: HTN,DM, smoking, obesity, HLD, A-fib, Age
◉Lewy body dementia. Answer: characterized by wax and waning
cognition
Visual hallucinations(well formed images of animals and small pple)
Develops EPS(Parkinsonism) @least 1 year after cognitive decline
Etiology: Lewy bodies and lewy neurities in brain(primarily basal
ganglia)
ANSWER SET
◉delirium. Answer: Medical Emergency
Reversible
40% mortality rates
Commonly experienced by elderly patients in the ICU and post-op
Develops over hours to days=Acute
Subtypes: Hyperactive(agitated, restless, hyperalert,
Hypoactive(lethargy, slowed, apathetic)
Mixed(cycles b/n hyperactive and hypoactive)
Causes: DELIRIUM(Drugs, Electrolyte imbalance, low 02 levels,
Infection, reduced sensory input, intracranial(strokes), Urinary
retention, Myocardial)
Treatments: 1:1 sitter
Agitation and psychotic symptoms
Haldol(PO,IM, IV) atypical antipsychotics)
◉Dementia. Answer: group of symptoms marked by memory loss
and loss of other cognitive functions such as perception, thinking,
reasoning, and remembering
-Irreversible
, ◉Alzheimer's disease. Answer: -Gradual progressive decline
-The most common type
-Affects memory, learning, and language
-Aphasia(difficulty with speech
-Apraxia(inability to perform previous learned tasks)
-Agnosia(inability to recognize an object)
Etiology: Accumulation of beta-amyloid plaques and intraneuronal
tau protein tangles
Txt: Cholinesterase inhibitors
NMDA receptor antagonists
◉vascular disease. Answer: 2nd most common
Cognitive decline secondary to large vessel strokes
Risk factors: HTN,DM, smoking, obesity, HLD, A-fib, Age
◉Lewy body dementia. Answer: characterized by wax and waning
cognition
Visual hallucinations(well formed images of animals and small pple)
Develops EPS(Parkinsonism) @least 1 year after cognitive decline
Etiology: Lewy bodies and lewy neurities in brain(primarily basal
ganglia)
