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Exam 2: NR 325/ NR325 (Latest 2025/ 2026 Update) Adult Health II Guide | Questions & Answers| Grade A| 100% Correct (Verified Solutions)- Chamberlain

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Exam 2: NR 325/ NR325 (Latest 2025/ 2026 Update) Adult Health II Guide | Questions & Answers| Grade A| 100% Correct (Verified Solutions)- Chamberlain Q: Most common cause of dementia Answer: Alzheimer's disease Q: what to do if Alzheimer and dementia is agitated Answer: distract and redirect with new activities DONOT present reality or rationalize Q: Dementia means Answer: Brain damage that is NOT reversible Q: causes of dementia Answer: Alzheimers, Parkinson's & even Traumatic brain injuries Q: what happen if too much brain damage occur in dementia patient Answer: more anxiety & aggression, so interventions=distraction like manual acitivity (crossword puzzle) Q: delirum Answer: Limited, short-term confusion that is easily reversible! FALL risk Q: How to cure delirium? Answer: correct the causes Q: What are some common infections that can cause delirium? Answer: Sepsis, UTI, infection Q: What are the key terms associated with delirium caused by infection? Answer: • Temp over 100.3 F • Positive Urine Culture Hypoxia "Low SpO2" • Agitation Q: What is the priority action when assessing a client with delirium? Answer: Assess the client Q: What are some other causes of delirium? Answer: • Opioid Pain Meds • Low sodium hyponatremia (norm: 135 - 145) • Low blood glucose hypoglycemia (norm: 70 - 110) Q: sundowing Answer: becoming restless and agitated in the late afternoon, evening, or night Q: what help sundowing? Answer: increased light and acitivity Q: CAM tool Answer: delirium is diagnosed with th presence of feature 1&2 or either 3&4 Q: Increased Cranial Pressure (ICP) Answer: Increased pressure within the brain compresses blood vessels, leading to cerebral hypoxia & puts loads of pressure on the brain stem, eventually killing the client. Q: causes of ICP (intracranial pressure) Answer: Bleeding (stroke) Inflammation of brain tissue (meningitis, trauma) Increased CSF Cerebral spinal fluid Brain Tumors Q: Early signs of ICP Answer: Altered LOC: Irritability, Restless Decreased Mental Status Sleepiness Flat affect and drowsiness Q: Moderate signs of ICP Answer: Headache - constant, sudden Vomiting "emesis" WITHOUT Nausea. REPORT TO PROVIDER!

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Uploaded on
January 16, 2025
Number of pages
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Written in
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Examl 2:l NRl 325/l NR325l (Latestl 2025/l
2026l Update)l Adultl Healthl IIl Guidel |l
Questionsl &l Answers|l Gradel A|l 100%l
Correctl (Verifiedl Solutions)-l Chamberlain

Q:l Mostl commonl causel ofl dementia

Answer:
Alzheimer'sl disease




Q:l whatl tol dol ifl Alzheimerl andl demential isl agitated

Answer:
distractl andl redirectl withl newl activities
DONOTl presentl realityl orl rationalize




Q:l Demential means

Answer:
Brainl damagel thatl isl NOTl reversible




Q:l causesl ofl dementia

Answer:
Alzheimers,l Parkinson'sl &l evenl Traumaticl brainl injuries

,Q:l whatl happenl ifl tool muchl brainl damagel occurl inl demential patient

Answer:
morel anxietyl &l aggression,l sol interventions=distractionl likel manuall acitivityl (crosswordl
puzzle)




Q:l delirum

Answer:
Limited,l short-terml confusionl thatl isl easilyl reversible!l FALLl risk




Q:l Howl tol curel delirium?

Answer:
correctl thel causes




Q:l Whatl arel somel commonl infectionsl thatl canl causel delirium?

Answer:
Sepsis,l UTI,l infection




Q:l Whatl arel thel keyl termsl associatedl withl deliriuml causedl byl infection?

Answer:
•l Templ overl 100.3l Fl •l Positivel Urinel Culturel Hypoxial "Lowl SpO2"l •l Agitation

,Q:l Whatl isl thel priorityl actionl whenl assessingl al clientl withl delirium?

Answer:
Assessl thel client




Q:l Whatl arel somel otherl causesl ofl delirium?

Answer:
•l Opioidl Painl Medsl •l
Lowl sodiuml hyponatremial (norm:l 135l -l 145)l •l
Lowl bloodl glucosel hypoglycemial (norm:l 70l -l 110)




Q:l sundowing

Answer:
becomingl restlessl andl agitatedl inl thel latel afternoon,l evening,l orl night




Q:l whatl helpl sundowing?

Answer:
increasedl lightl andl acitivity




Q:l CAMl tool

Answer:

, deliriuml isl diagnosedl withl thl presencel ofl featurel 1&2l orl eitherl 3&4




Q:l Increasedl Craniall Pressurel (ICP)

Answer:
Increasedl pressurel withinl thel brainl compressesl bloodl vessels,l leadingl tol cerebrall
hypoxial &l putsl loadsl ofl pressurel onl thel brainl stem,l eventuallyl killingl thel client.




Q:l causesl ofl ICPl (intracraniall pressure)

Answer:
Bleedingl (stroke)
Inflammationl ofl brainl tissuel (meningitis,l trauma)l
l Increasedl CSFl Cerebrall spinall fluidl
l Brainl Tumors




Q:l Earlyl signsl ofl ICP

Answer:
Alteredl LOC:l Irritability,l Restlessl
Decreasedl Mentall Status
l Sleepinessl
Flatl affectl andl drowsiness




Q:l Moderatel signsl ofl ICP

Answer:
Headachel -l constant,l
suddenl Vomitingl "emesis"l WITHOUTl Nausea.l REPORTl TOl PROVIDER!

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