MARYVILLE NURS 623 EXAM 4 | LATEST UPDATED| 115 REAL EXAM
AND COMPLETE QUESTIONS AND ANSWERS | 100% RATED
CORRECT | 100% VERFIED | ALREADY GRADED A+
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
AND COMPLETE QUESTIONS AND ANSWERS | 100% RATED
CORRECT | 100% VERFIED | ALREADY GRADED A+
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
