MARYVILLE NURSE 623 EXAM 4 ALL QUESTIONS AND ANSWERS

MARYVILLE NURSE 623 EXAM 4 ALL QUESTIONS AND ANSWERS  What is important to note when a patient has traumatic injury - ANSWER: If taking Blood Thinners  Define delirium - ANSWER: Underlying acute cause, abrupt onset, hours to days, reversible, hallucinations, incoherent speech, confusion  Define Dementia - ANSWER: 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? - ANSWER: Agitation and restlessness  At the onset of alzheimers, what category of medications should be initiated? - ANSWER: Cholinesterase inhibitors  what factors contribute to a patient being high risk for falls? - ANSWER: • 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 - ANSWER: living at home and calling PCP instead of 911 leads to prolonged stroke symptoms and long term effects S/S of an Absense Seizure - ANSWER: Blank stare (upward rotation of eye) Red Flags of back/neck pain - ANSWER: Incontinence Fever Cancers Unexplained wt loss Long term steroids Trauma IV drug abuse Intense local pain No comfy Position Diagnosing of Alzheimer's - ANSWER: Impaired 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  What disease is "freezing phenomenon" a characteristic of? - ANSWER: Parkinson's A 62 y/o patient calls and c/o of a headache what statement would cause the most concern? - ANSWER: 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. - ANSWER: Temporal arteritis s/s of temporal (giant cell) arteritis - ANSWER: * unilateral HA (temporal artery, orbital) * jaw claudication (pain with chewing) * temporary blindness (Medical Urgency) Polymyalgia rheumatica (pain/stiff muscles shoulders and hips) What age group is at higher risk for temporal arteritis - ANSWER: 50 Clinical manifestations of Articular disorders? - ANSWER: *characterized by deep or diffuse pain, pain or limited ROM on active and passive movement *swelling *crepitus Clinical manifestations of Non-Articular disorders? - ANSWER: *Tend to be painful on active but not passive (assisted) ROM. *Seldom demonstrate swelling, crepitus, instability, or deformity by itself.