Nurs 5463 Module 7 test The University of Texas at Arlington |
UPDATED Questions with 100% Verified Answers
Question:
delirium
Answer:
an acutely disturbed state of mind that occurs in fever,
intoxication, and other disorders and is characterized by
restlessness, illusions, and incoherence of thought and speech.
Question:
Dementia
Answer:
a slowly progressive decline in mental abilities, including
memory, thinking, and judgment, that is often accompanied
by personality changes
Question:
RASS
Answer:
Richmond Agitation Sedation Scale
Question:
CAM ICU test
Answer:
-4 questions and a command
-Only tool validated for use on vent patients to diagnose
delirium
Question:
Risk factors for ICU delirium. 3 categories
Answer:
1) acute illness
,2) age/chronic health problems
3) environmental/iatrogenic
Question:
Leading iatrogenic risk factors for delirium?
Answer:
psychoactive medications
Question:
Management of delirium
Answer:
- mobilize early
- improve sleep cycle
- no haldol or atypical antipsychotics to prevent dilirium, or is
prolonged QT, Torsades, or when taking meds that prolongs
QT
-Use Precedex rather than benzos when require sedation
-Benzos and delirium in alcohol or benzo withdrawal
Question:
Transient Ischemic Attack (TIA)
Answer:
- transient episode of neurologic dysfunction caused by focal
brain, spinal cord, or retinal ischemia, without acute infarction
-highest risk for stroke after a TIA is within 48hr
-15% of TIA precede stroke
-early intervention of TIA reduce risk for stroke-80%
Question:
TIA common and uncommon causes.
Answer:
, common: atherosclerosis of large vessels, cardioembolism
and a-fib uncommon: hypercoaguable states, aortic dissection,
hyperlipidemia, smoking, obesity and DM
Question:
ABCD2 Risk Stratification Score
Answer:
-used by clinicians to determine risk of stroke in the first 7
days following a TIA
-5 parameters: age, BP, clinical features, duration of TIA, DM
-Score range 0-7
Question:
Management of TIA
Answer:
Use ABCD score to determine risk of CVA. If 3 or greater,
should be admitted
-Age (>60)
-Blood pressure (>140/90)
-Clinical symptoms
-Duration (>60 minutes)
-Diabetes
Question:
Treatment of TIA
Answer:
-tPA initiated if symptoms do not resolve and r/o bleed
-prophylactic antiplatelet therapy (if TIA is NOT
caridogenic); ASA, ticlopidine (ticlid), clopidogrel (Plavix),
dipyridamole
-cardiogenic TIA requires anticoagulation
-IV heparin and then warfarin longterm
UPDATED Questions with 100% Verified Answers
Question:
delirium
Answer:
an acutely disturbed state of mind that occurs in fever,
intoxication, and other disorders and is characterized by
restlessness, illusions, and incoherence of thought and speech.
Question:
Dementia
Answer:
a slowly progressive decline in mental abilities, including
memory, thinking, and judgment, that is often accompanied
by personality changes
Question:
RASS
Answer:
Richmond Agitation Sedation Scale
Question:
CAM ICU test
Answer:
-4 questions and a command
-Only tool validated for use on vent patients to diagnose
delirium
Question:
Risk factors for ICU delirium. 3 categories
Answer:
1) acute illness
,2) age/chronic health problems
3) environmental/iatrogenic
Question:
Leading iatrogenic risk factors for delirium?
Answer:
psychoactive medications
Question:
Management of delirium
Answer:
- mobilize early
- improve sleep cycle
- no haldol or atypical antipsychotics to prevent dilirium, or is
prolonged QT, Torsades, or when taking meds that prolongs
QT
-Use Precedex rather than benzos when require sedation
-Benzos and delirium in alcohol or benzo withdrawal
Question:
Transient Ischemic Attack (TIA)
Answer:
- transient episode of neurologic dysfunction caused by focal
brain, spinal cord, or retinal ischemia, without acute infarction
-highest risk for stroke after a TIA is within 48hr
-15% of TIA precede stroke
-early intervention of TIA reduce risk for stroke-80%
Question:
TIA common and uncommon causes.
Answer:
, common: atherosclerosis of large vessels, cardioembolism
and a-fib uncommon: hypercoaguable states, aortic dissection,
hyperlipidemia, smoking, obesity and DM
Question:
ABCD2 Risk Stratification Score
Answer:
-used by clinicians to determine risk of stroke in the first 7
days following a TIA
-5 parameters: age, BP, clinical features, duration of TIA, DM
-Score range 0-7
Question:
Management of TIA
Answer:
Use ABCD score to determine risk of CVA. If 3 or greater,
should be admitted
-Age (>60)
-Blood pressure (>140/90)
-Clinical symptoms
-Duration (>60 minutes)
-Diabetes
Question:
Treatment of TIA
Answer:
-tPA initiated if symptoms do not resolve and r/o bleed
-prophylactic antiplatelet therapy (if TIA is NOT
caridogenic); ASA, ticlopidine (ticlid), clopidogrel (Plavix),
dipyridamole
-cardiogenic TIA requires anticoagulation
-IV heparin and then warfarin longterm
