Maryville NURS 623 Exam 4 – Questions With Complete Solutions What is important to note when a patient has traumatic injury ✔️Ans - If taking Blood Thinners Define delirium ✔️Ans - Underlying acute cause, abrupt onset, hours to days, reversible, hallucinations, incoherent speech, confusion Define Dementia ✔️Ans - 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?✔️Ans - Agitation and restlessness At the onset of alzheimers, what category of medications should be initiated?✔️Ans - Cholinesterase inhibitors what factors contribute to a patient being high risk for falls? ✔️Ans - 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 ✔️Ans - living at home and calling PCP instead of 911 leads to prolonged stroke symptoms and long term effects S/S of an Absense Seizure ✔️Ans - Blank stare (upward rotation of eye) Red Flags of back/neck pain ✔️Ans - Incontinence Fever 1 / 2
Cancers Unexplained wt loss Long term steroids Trauma IV drug abuse Intense local pain No comfy Position Diagnosing of Alzheimer's ✔️Ans - Impaired ability to learn new info along with a disturbance in language, function, or perception S/S of Alzheimer's ✔️Ans - *C/O memory problems
- ↑ cognitive difficulty
- ↑ slow response to cognitive challenge
- ↑ difficulty with simple tasks
- jaw claudication (pain with chewing)
- temporary blindness
- / 2
*Word-finding difficulty
cardinal features of Parkinson's (TRAP)? ✔️Ans - *T-remor at rest (or pill rolling) *R-igidity *A-kinesia/Bradykinesia *P-ostural Disturbances What disease is "freezing phenomenon" a characteristic of? ✔️Ans - Parkinson's A 62 y/o patient calls and c/o of a headache what statement would cause the most concern? ✔️Ans - 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. ✔️Ans - Temporal arteritis s/s of temporal (giant cell) arteritis ✔️Ans - * unilateral HA (temporal artery, orbital)
(Medical Urgency) Polymyalgia rheumatica (pain/stiff muscles shoulders and hips)