Maryville NURS 623 Exam 4 with Complete Solutions

What is important to note when a patient has traumatic injury - ANSWERIf taking Blood Thinners Define delirium - ANSWERUnderlying acute cause, abrupt onset, hours to days, reversible, hallucinations, incoherent speech, confusion Define Dementia - ANSWERVarious 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? - ANSWERAgitation and restlessness At the onset of alzheimers, what category of medications should be initiated? - ANSWERCholinesterase inhibitors what factors contribute to a patient being high risk for falls? - ANSWERHistory 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 - ANSWERliving at home and calling PCP instead of 911 leads to prolonged stroke symptoms and long term effects S/S of an Absense Seizure - ANSWERBlank stare (upward rotation of eye) Red Flags of back/neck pain - ANSWERIncontinence Fever Cancers Unexplained wt loss Long term steroids Trauma IV drug abuse Intense local pain No comfy Position Diagnosing of Alzheimer's - ANSWERImpaired ability to learn new info along with a disturbance in language, function, or perception S/S of Alzheimer's - ANSWER*C/O memory problems * ↑ cognitive difficulty * ↑ slow response to cognitive challenge *Word-finding difficulty * ↑ difficulty with simple tasks cardinal features of Parkinson's (TRAP)? - ANSWER*T-remor at rest (or pill rolling) *R-igidity *A-kinesia/Bradykinesia *P-ostural Disturbances