MARYVILLE NURS 623 EXAM 4
QUESTIONS AND VERIFIED
ANSWERS
What is important to note when a patient has traumatic injury
If taking Blood Thinners
Define delirium
Underlying acute cause, abrupt onset, hours to days, reversible, hallucinations,
incoherent speech, confusion
Define Dementia
Various causes, gradual change with mental status, months to years, progressive to
irreversible (speech, memory, mood, judgment)
An older adult with delirium would present with what type of behaviors?
Agitation and restlessness
At the onset of alzheimers, what category of medications should be initiated?
Cholinesterase inhibitors
what factors contribute to a patient being high risk for falls?
History of falls
medications
vision impairment
heart rate/rhythm abnormalities
footwear issues
home environment
gait/mobility issues
poor reflexes
What is the primary reason people have long term effects after a Stroke
living at home and calling PCP instead of 911 leads to prolonged stroke symptoms
and long term effects
S/S of an Absense Seizure
Blank stare (upward rotation of eye)
Red Flags of back/neck pain
, Incontinence
Fever
Cancers
Unexplained wt loss
Long term steroids
Trauma
IV drug abuse
Intense local pain
No comfy Position
Diagnosing of Alzheimer's
Impaired ability to learn new info along with a disturbance in language, function, or
perception
S/S of Alzheimer's
*C/O memory problems
* ↑ cognitive difficulty
* ↑ slow response to cognitive challenge
*Word-finding difficulty
* ↑ difficulty with simple tasks
cardinal features of Parkinson's (TRAP)?
*T-remor at rest (or pill rolling)
*R-igidity
*A-kinesia/Bradykinesia
*P-ostural Disturbances
What disease is "freezing phenomenon" a characteristic of?
Parkinson's
A 62 y/o patient calls and c/o of a headache what statement would cause the
most concern?
It's the worst headache I've ever had
the headache from a subdural hematoma is of venous origin, typically
resulting from ahead injury that is usually mild and easily forgotten by the
patient.
Temporal arteritis
s/s of temporal (giant cell) arteritis
QUESTIONS AND VERIFIED
ANSWERS
What is important to note when a patient has traumatic injury
If taking Blood Thinners
Define delirium
Underlying acute cause, abrupt onset, hours to days, reversible, hallucinations,
incoherent speech, confusion
Define Dementia
Various causes, gradual change with mental status, months to years, progressive to
irreversible (speech, memory, mood, judgment)
An older adult with delirium would present with what type of behaviors?
Agitation and restlessness
At the onset of alzheimers, what category of medications should be initiated?
Cholinesterase inhibitors
what factors contribute to a patient being high risk for falls?
History of falls
medications
vision impairment
heart rate/rhythm abnormalities
footwear issues
home environment
gait/mobility issues
poor reflexes
What is the primary reason people have long term effects after a Stroke
living at home and calling PCP instead of 911 leads to prolonged stroke symptoms
and long term effects
S/S of an Absense Seizure
Blank stare (upward rotation of eye)
Red Flags of back/neck pain
, Incontinence
Fever
Cancers
Unexplained wt loss
Long term steroids
Trauma
IV drug abuse
Intense local pain
No comfy Position
Diagnosing of Alzheimer's
Impaired ability to learn new info along with a disturbance in language, function, or
perception
S/S of Alzheimer's
*C/O memory problems
* ↑ cognitive difficulty
* ↑ slow response to cognitive challenge
*Word-finding difficulty
* ↑ difficulty with simple tasks
cardinal features of Parkinson's (TRAP)?
*T-remor at rest (or pill rolling)
*R-igidity
*A-kinesia/Bradykinesia
*P-ostural Disturbances
What disease is "freezing phenomenon" a characteristic of?
Parkinson's
A 62 y/o patient calls and c/o of a headache what statement would cause the
most concern?
It's the worst headache I've ever had
the headache from a subdural hematoma is of venous origin, typically
resulting from ahead injury that is usually mild and easily forgotten by the
patient.
Temporal arteritis
s/s of temporal (giant cell) arteritis
