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