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
*swelling
*crepitus
Clinical manifestations of Non-Articular disorders? Correct 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?
Correct Answer: The straight leg raise (assesses L5-S1). pain would indicate most common disc
herniation
What cranial nerve is affected in Bell's Palsy? Correct Answer: CN VII
S/S of Bell's Palsy Correct Answer: * 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
How is Bell's Palsy diagnosed? Correct Answer: Clinical history and exam
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
*swelling
*crepitus
Clinical manifestations of Non-Articular disorders? Correct 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?
Correct Answer: The straight leg raise (assesses L5-S1). pain would indicate most common disc
herniation
What cranial nerve is affected in Bell's Palsy? Correct Answer: CN VII
S/S of Bell's Palsy Correct Answer: * 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
How is Bell's Palsy diagnosed? Correct Answer: Clinical history and exam
