Maryville NURS 623
What is important to note when a patient has traumatic injury - question and answerIf
taking Blood Thinners
Define delirium - question and answerUnderlying acute cause, abrupt onset, hours to
days, reversible, hallucinations, incoherent speech, confusion
Define Dementia - question and answerVarious 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? - question and
answerAgitation and restlessness
At the onset of alzheimers, what category of medications should be initiated? - question
and answerCholinesterase inhibitors
what factors contribute to a patient being high risk for falls? - question and
answerHistory 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 - question and
answerliving at home and calling PCP instead of 911 leads to prolonged stroke
symptoms and long term effects
S/S of an Absense Seizure - question and answerBlank stare (upward rotation of eye)
Red Flags of back/neck pain - question and answerIncontinence
Fever
Cancers
Unexplained wt loss
Long term steroids
, Trauma
IV drug abuse
Intense local pain
No comfy Position
Diagnosing of Alzheimer's - question and answerImpaired ability to learn new info along
with a disturbance in language, function, or perception
S/S of Alzheimer's - question and 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)? - question and answer*T-remor at rest (or pill
rolling)
*R-igidity
*A-kinesia/Bradykinesia
*P-ostural Disturbances
What disease is "freezing phenomenon" a characteristic of? - question and
answerParkinson's
A 62 y/o patient calls and c/o of a headache what statement would cause the most
concern? - question and answerIt'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. - question and
answerTemporal arteritis
s/s of temporal (giant cell) arteritis - question and 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 - question and answer>50
Clinical manifestations of Articular disorders? - question and answer*characterized by
deep or diffuse pain, pain or limited ROM on active and passive movement
*swelling
*crepitus
Clinical manifestations of Non-Articular disorders? - question and answer*Tend to be
painful on active but not passive (assisted) ROM.
*Seldom demonstrate swelling, crepitus, instability, or deformity by itself.
What is important to note when a patient has traumatic injury - question and answerIf
taking Blood Thinners
Define delirium - question and answerUnderlying acute cause, abrupt onset, hours to
days, reversible, hallucinations, incoherent speech, confusion
Define Dementia - question and answerVarious 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? - question and
answerAgitation and restlessness
At the onset of alzheimers, what category of medications should be initiated? - question
and answerCholinesterase inhibitors
what factors contribute to a patient being high risk for falls? - question and
answerHistory 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 - question and
answerliving at home and calling PCP instead of 911 leads to prolonged stroke
symptoms and long term effects
S/S of an Absense Seizure - question and answerBlank stare (upward rotation of eye)
Red Flags of back/neck pain - question and answerIncontinence
Fever
Cancers
Unexplained wt loss
Long term steroids
, Trauma
IV drug abuse
Intense local pain
No comfy Position
Diagnosing of Alzheimer's - question and answerImpaired ability to learn new info along
with a disturbance in language, function, or perception
S/S of Alzheimer's - question and 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)? - question and answer*T-remor at rest (or pill
rolling)
*R-igidity
*A-kinesia/Bradykinesia
*P-ostural Disturbances
What disease is "freezing phenomenon" a characteristic of? - question and
answerParkinson's
A 62 y/o patient calls and c/o of a headache what statement would cause the most
concern? - question and answerIt'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. - question and
answerTemporal arteritis
s/s of temporal (giant cell) arteritis - question and 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 - question and answer>50
Clinical manifestations of Articular disorders? - question and answer*characterized by
deep or diffuse pain, pain or limited ROM on active and passive movement
*swelling
*crepitus
Clinical manifestations of Non-Articular disorders? - question and answer*Tend to be
painful on active but not passive (assisted) ROM.
*Seldom demonstrate swelling, crepitus, instability, or deformity by itself.
