Maryville NURS 623 Exam 4 Questions
With 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.
What diagnostic assessment is most useful in a patient who presents with lumbar
radiculopathy? - ANSWER- The straight leg raise (assesses L5-S1). pain would indicate
most common disc herniation
What cranial nerve is affected in Bell's Palsy? - ANSWER- CN VII
With 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.
What diagnostic assessment is most useful in a patient who presents with lumbar
radiculopathy? - ANSWER- The straight leg raise (assesses L5-S1). pain would indicate
most common disc herniation
What cranial nerve is affected in Bell's Palsy? - ANSWER- CN VII
