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MARYVILLE NURS 623 EXAM 4
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MARYVILLE NURS 623 EXAM 4
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MARYVILLE NURS 623 EXAM 4What is important to note when a patient has traumatic injury - Answers -If taking Blood
Thinners
What is the primary reason people have long term effects after a Stroke - Answers -
living at home and calling PCP instead of 911 leads to prolonged stroke symptoms and
long term effects
S/S of an Absense Seizure - Answers -Blank stare (upward rotation of eye)
Red Flags of back/neck pain - Answers -Incontinence
Fever
Cancers
Unexplained wt loss
Long term steroids
Trauma
IV drug abuse
Intense local pain
No comfy Position
Diagnosing of Alzheimer's - Answers -Impaired ability to learn new info along with a
disturbance in language, function, or perception
S/S of Alzheimer's - Answers -*C/O memory problems
* ↑ cognitive difficulty
* ↑ slow response to cognitive challenge
*Word-finding difficulty
* ↑ difficulty with simple tasks
cardinal features of Parkinson's (TRAP)? - Answers -*T-remor at rest (or pill rolling)
*R-igidity
*A-kinesia/Bradykinesia
*P-ostural Disturbances
What disease is "freezing phenomenon" a characteristic of? - Answers -Parkinson's
A 62 y/o patient calls and c/o of a headache what statement would cause the most
concern? - Answers -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. - Answers -
Temporal arteritis
s/s of temporal (giant cell) arteritis - Answers -* 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 - Answers ->50
Clinical manifestations of Articular disorders? - Answers -*characterized by deep or
diffuse pain, pain or limited ROM on active and passive movement
*swelling
*crepitus
Clinical manifestations of Non-Articular disorders? - Answers -*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? - Answers -The straight leg raise (assesses L5-S1). pain would indicate
most common disc herniation
What cranial nerve is affected in Bell's Palsy? - Answers -CN VII
S/S of Bell's Palsy - Answers -* Acute onset one-sided Facial paralysis with normal
ocular movement and sensation
* Affects CN VII (facial)-VII(vestibulocochlear)
* Loss of taste (dysgeusia)
* Postauricular pain
* Sound sensitivity (hyperacusis)
* Heavy feeling in face
Define delirium - Answers -Underlying acute cause, abrupt onset, hours to days,
reversible, hallucinations, incoherent speech, confusion
Define Dementia - Answers -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? - Answers -
Agitation and restlessness
At the onset of alzheimers, what category of medications should be initiated? - Answers
-Cholinesterase inhibitors
what factors contribute to a patient being high risk for falls? - Answers -History of falls
medications
vision impairment
heart rate/rhythm abnormalities
footwear issues
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