MDC 4 EXAM 1 QUESTIONS & ANSWERS
GRADED TO PASS!!
What are the characteristics of early-stage Alzheimer's disease?
Completes ADLs, subtle changes in memory and behavior
What are the characteristics of moderate-stage Alzheimer's disease?
Wandering behavior, agitation, incontinence
What are the characteristics of late-stage Alzheimer's disease?
Bedridden, seizures, tremors, Agnosia
Migraine signs/symptoms
Episodic, head pain lasting from 4 to 72 hours
Steady ache to violent throbbing
Unilateral, worse with activity
Aura
Photophobia, phonophobia, osmophobia
Education about Propranolol
take daily at the same time
Multiple Sclerosis treatment
immunomodulators and immosuppressants. commonly given as injections so rotate injection sites
Clinical manifestations of meningitis
nuchal rigidity (stiff neck), positive kernigs, brudzinskis sign,
Treatment for severe migraines*
ergotamine tartrate (taken at the start of the headache) can take up to 6 tablets in 24 hours
How does ergotamine tartrate work?
acts by constricting the cerebal blood vessels
priorities for seizure precautions
lay on left side, adequate airway, padded rails.
, how to manage a patient with active seizure
suction and 02,
bedrails up and padded,
IV access,
give ativan/lorazepam
New onset of a migraine and the doctor wants a ct with contrast
ask if allergic to shellfish, seafood, iodine
Dietary restrictions for people with migraines
caffeine, alcohol, pickled foods, aged cheeses, artificial sweeteners,
How can you protect a client with increased ICP?
Increase head of bed to 30-45 degrees, decrease noise in the room, provide stool softners, prevent
elevated interthoracic pressure
How do Alzheimer's patients act with changes in their environment
anxious/anxiety
What is our priority with cervical spinal injuries
ABC's and stabalize cervical spine
stroke nursing interventions
small bites with food,
diet - pureed, watch the affected side for food pocketing,
dentures,
sit up right 90 degrees,
DO NOT use straws.
CSF
clear fluid, halo ring, DO NOT put things in their ears
Stroke
tuck chin to swallow to prevent aspiration
Contraindication for increased ICP
lumbar puncture
GRADED TO PASS!!
What are the characteristics of early-stage Alzheimer's disease?
Completes ADLs, subtle changes in memory and behavior
What are the characteristics of moderate-stage Alzheimer's disease?
Wandering behavior, agitation, incontinence
What are the characteristics of late-stage Alzheimer's disease?
Bedridden, seizures, tremors, Agnosia
Migraine signs/symptoms
Episodic, head pain lasting from 4 to 72 hours
Steady ache to violent throbbing
Unilateral, worse with activity
Aura
Photophobia, phonophobia, osmophobia
Education about Propranolol
take daily at the same time
Multiple Sclerosis treatment
immunomodulators and immosuppressants. commonly given as injections so rotate injection sites
Clinical manifestations of meningitis
nuchal rigidity (stiff neck), positive kernigs, brudzinskis sign,
Treatment for severe migraines*
ergotamine tartrate (taken at the start of the headache) can take up to 6 tablets in 24 hours
How does ergotamine tartrate work?
acts by constricting the cerebal blood vessels
priorities for seizure precautions
lay on left side, adequate airway, padded rails.
, how to manage a patient with active seizure
suction and 02,
bedrails up and padded,
IV access,
give ativan/lorazepam
New onset of a migraine and the doctor wants a ct with contrast
ask if allergic to shellfish, seafood, iodine
Dietary restrictions for people with migraines
caffeine, alcohol, pickled foods, aged cheeses, artificial sweeteners,
How can you protect a client with increased ICP?
Increase head of bed to 30-45 degrees, decrease noise in the room, provide stool softners, prevent
elevated interthoracic pressure
How do Alzheimer's patients act with changes in their environment
anxious/anxiety
What is our priority with cervical spinal injuries
ABC's and stabalize cervical spine
stroke nursing interventions
small bites with food,
diet - pureed, watch the affected side for food pocketing,
dentures,
sit up right 90 degrees,
DO NOT use straws.
CSF
clear fluid, halo ring, DO NOT put things in their ears
Stroke
tuck chin to swallow to prevent aspiration
Contraindication for increased ICP
lumbar puncture
