Maryville NURS 623 Exam 4, NURS 623 exam 4
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)
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)
