MDC 4 EXAM 1 QUESTIONS & ANSWERS GRADED TO PASS!!

MDC 4 EXAM 1 QUESTIONS & ANSWERS GRADED TO PASS!! What are the characteristics of early-stage Alzheimer's disease? Completes ADLs, subtle changes in memory and behavior What are the characteristics of moderate-stage Alzheimer's disease? Wandering behavior, agitation, incontinence What are the characteristics of late-stage Alzheimer's disease? Bedridden, seizures, tremors, Agnosia Migraine signs/symptoms Episodic, head pain lasting from 4 to 72 hours Steady ache to violent throbbing Unilateral, worse with activity Aura Photophobia, phonophobia, osmophobia Education about Propranolol take daily at the same time Multiple Sclerosis treatment immunomodulators and immosuppressants. commonly given as injections so rotate injection sites Clinical manifestations of meningitis nuchal rigidity (stiff neck), positive kernigs, brudzinskis sign, Treatment for severe migraines* ergotamine tartrate (taken at the start of the headache) can take up to 6 tablets in 24 hours How does ergotamine tartrate work? acts by constricting the cerebal blood vessels priorities for seizure precautions lay on left side, adequate airway, padded rails. how to manage a patient with active seizure suction and 02, bedrails up and padded, IV access, give ativan/lorazepam New onset of a migraine and the doctor wants a ct with contrast ask if allergic to shellfish, seafood, iodine Dietary restrictions for people with migraines caffeine, alcohol, pickled foods, aged cheeses, artificial sweeteners, How can you protect a client with increased ICP? Increase head of bed to 30-45 degrees, decrease noise in the room, provide stool softners, prevent elevated interthoracic pressure How do Alzheimer's patients act with changes in their environment anxious/anxiety What is our priority with cervical spinal injuries ABC's and stabalize cervical spine stroke nursing interventions small bites with food, diet - pureed, watch the affected side for food pocketing, dentures, sit up right 90 degrees, DO NOT use straws. CSF clear fluid, halo ring, DO NOT put things in their ears Stroke tuck chin to swallow to prevent aspiration Contraindication for increased ICP lumbar puncture Elevated ICP greater than 20 mmHg sustained Significant sign of ICP LOC- earliest sign, Decrease in patients neurological status. Cervical injury: Above level of C4 keep body in alignment so that jugular does not occlude Proprioception perception/position to space - forget about body on the one side Monitor BP after giving meds to a stroke pt do neuro checks Treatment for a Hemorrhagic STROKE vit k, fresh frozen plasma and surgery EEG identifies abnormal rhythms in the brain, used to identify brain death Broca's - receptive speech area If a person has damage to the frontal lobe (Broca's area), sounds can be made, but words cannot be formed. It is a motor speech problem in which the patient generally understands what is said but cannot speak. MS- What medication is used to help treat spasms? Baclofen- decreases muscle spasms or cramping Highest risk with myasthenia gravis Respiratory compromise Differences between Myasthenia Gravis and Guillain Barre eprogression, autoimmune vs viral