NSG 320 exam 4 Questions With Complete Solutions

NSG 320 exam 4 Questions With Complete Solutions 3 main types of aura are - ANSWER-visual symptoms(distortion or zig zag lines), sensory auras (tingling, hearing voices, unusual smells), aphasic with speech problems .A head CT and MRI would be indicated with an - ANSWER-acute onset of cognitive impairment, rapid neurologic deterioration, findings that suggest subdural hematoma, thrombotic stroke, or cerebral hemorrhage .AD progresses - ANSWER-slowly .Adult day care for AD pts can provide - ANSWER-caregiver respite in protective environment, stimulation for AD pt .Alzhiemer's disease (AD) is a - ANSWER-chronic progressive and irreversible neurodegenerative brain disease .An adverse effect of carbidopa levodopa is - ANSWER-involuntary head neck muscle movement .Antiparkinsonian drugs - ANSWER-enhance of release supply of DA (dopaminergic) or block the effect of overactive cholinergic neurons (anticholinergic) .Autonomic features of a cluster headache are - ANSWER-swelling around the eye, tearing, facial flushing, or pallor, nasal running, miosis .Bell's palsy is an - ANSWER-acute temporary facial paresis (can affect both sides) .Bell's palsy often occurs with - ANSWER-pregnancy, upper respiratory conditions, hypertension .Brain imaging test for AD - ANSWER-CT and MRI for brain atrophy, PET will distinguish AD from other dementia .Characteristic of a migraine are - ANSWER-unilateral throbbing pain .Characteristics of a tension headache are - ANSWER-bilateral locations and pressing/tightening quality with mild to moderate intensity .Classic characteristic of a person with PD - ANSWER-stooped posture, masked faced, drooling, shuffling gait (late sign) .Clinical manifestation of neurological dementia - ANSWER-gradual onset with progression .Clinical manifestations of a migraine are - ANSWER-steady pounding or throbbing unilateral pain .Clinical manifestations of bell's palsy are - ANSWER-unilateral lower motor facial weakness, drooping, eyelid and corner of the mouth, dryness of eye of mouth, facial twitching, facial numbness, excessive tearing in one eye, altered taste, hearing loss .Clinical manifestations of cluster headaches are - ANSWER-severe intense pain that is sharp, stabbing, around the eye that radiates along the nerve .Clinical manifestations of MS are - ANSWER-motor problems, sensory problems, cerebellar problems, emotional problems, possible bowel and bladder functions problems like constipation and variable urinary problems .Clinical manifestations of PD - ANSWER-usually gradual onset, TRAP; tremor, rigidity, akinesia/bradykinesia, postural instability .Clinical manifestations of PD are usually - ANSWER-asymmetric .Clinical manifestations of tension headaches are - ANSWER-constant, dull pressure, or bandlike headache that is associated with neck pain and increased tone in cervical and neck muscles. Also photophobia (eyes) or phonophobia (sounds) .Clinical manifestations of vascular dementia - ANSWER-abrupt onset with stepwise progression .Cluster headache affects - ANSWER-trigeminal nerve (CN V) .Cluster headache is - ANSWER-the most severe primary headache .Cluster headaches can happen as many as - ANSWER-8 times a day .Cluster headaches have unilateral pain how many after falling asleep - ANSWER-1-2 hours .Complications of PD are - ANSWER-dementia, dysphagia may result in malnutrition of aspirations, pneumonia, UTIs, skin breakdown, orthostatic hypotension .Confirmations of PD is usually after - ANSWER-positive response to anti parkinson's drugs .D.B. is admitted to a long-term care facility. He has impaired memory related to the effects of dementia. An appropriate nursing intervention for him is to - ANSWER-maintain familiar routines of sleep, meals, drug administration, and activities .Delirium is an - ANSWER-onset of acute confusion, a state of confusion that develops quickly .Dementia is a - ANSWER-decline in function from previous level .Dementia pt will have a decline in one or more cognitive domains which are - ANSWER-complex attentions, executive function, language, learning and memory, perceptual-motor, social cognition .Diagnosis of dementia is focused on - ANSWER-determining the cause .Diagnostic findings of a tension headache are - ANSWER-increased resistance to passive movement of head, tenderness of head and neck .Dopamine is used for - ANSWER-motor functioning of posture, support and voluntary motions .Drug therapy for MS includes - ANSWER-immunosuppressants, corticosteroids, therapeutic plasma exchange and IV immunoglobulin G .Drug therapy is only used in delirium if - ANSWER-the pat has severe agitation that interferes with needed medical therapy, it puts the patient at increased risk for falls and injury, or other nonpharmacologic methods have failed .Episodes of hypomobility often occur within 3-5 years (meds only works for this long till they revert back) - ANSWER- .For a cluster headache the nurse would recommend - ANSWER-triptans (contraindicated for pts with vascular risk factors) or 100% oxygen at 7-12 L/min for 20 minutes .For a migraine that is mild to moderate the nurse would recommend - ANSWER-NSAIDS, aspirin or caffeine contain analgesics .For a migraine that is moderate to severe what is the first line treatment - ANSWER-triptans