Maryville NURS 623 Exam 4 with complete solution 2023 exam graded A+

Maryville NURS 623 Exam 4

What is important to note when a patient has traumatic injury

Correct answer- If taking Blood Thinners

Define delirium

Correct answer- Underlying acute cause, abrupt onset, hours to days, reversible,

hallucinations, incoherent speech, confusion

Define Dementia

Correct 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?

Correct answer- Agitation and restlessness

At the onset of alzheimers, what category of medications should be initiated?

Correct answer- Cholinesterase inhibitors

what factors contribute to a patient being high risk for falls?

Correct 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

Correct 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

Correct answer- Blank stare (upward rotation of eye)

Red Flags of back/neck pain

Correct answer- Incontinence

Fever

Cancers

Unexplained wt loss

Long term steroids

Trauma

IV drug abuse

Intense local pain

No comfy Position

Diagnosing of Alzheimer's

Correct answer- Impaired ability to learn new info along with a disturbance in language,

function, or perception

S/S of Alzheimer's

Correct 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)?

Correct answer- *T-remor at rest (or pill rolling)

*R-igidity

*A-kinesia/Bradykinesia

*P-ostural Disturbances

What disease is "freezing phenomenon" a characteristic of?

Correct answer- Parkinson's

A 62 y/o patient calls and c/o of a headache what statement would cause the most

concern?

Correct 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.

Correct answer- Temporal arteritis

s/s of temporal (giant cell) arteritis

Correct 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

Correct answer- 50

Clinical manifestations of Articular disorders?

Correct answer- *characterized by deep or diffuse pain, pain or limited ROM on active

and passive movement