NUR 257 Exam 3 Questions and Answers Graded A+

NUR 257 Exam 3

What causes delirium - answer Dementia
Electrolytes
Lungs, liver, heart, kidney, brain
Infection
Rx
Injury, pain, stress
Unfamiliar environment
Metabolic

Precipitating factors for delirium - answerAge greater than 65; hearing or vision
impairment; current hip fix; flat affect

Hyperactive delirium - answerExcessive alertness, easy distractibility, agitation,
increased psychomotor activity, removing tubes

Ischemic event - answerArterial disease; cardio embolism; systemic hypoperfusion

Hemorrhagic events - answerPrimarily caused by uncontrolled HTN

Prevention of CVA - answerReducing HTN; taking aspirin or other antiplatelet drug;
controlling DM; promoting lifestyle changes

Assessment of stroke - answerFace: ask the person to smile
Arms: ask the person to raise both arms
Speech: ask the person to repeat a simple phrase
Time: call 911 if any signs appear

Ongoing drug therapy for ischemic stroke - answerAntithrombotic; antiplatelet (aspirin);
clopidogrel (plavix)

Ongoing drug therapy if stroke is caused by AFIB - answerAnticoagulants; heparin
Coumadin

Ongoing drug therapy for hemorrhagic stroke - answerNimodipine (SAH); nimotop
(prevent vasospasms)

Left hemisphere stroke - answerMobility/cognitive deficits; need help with simple tasks;
memory deficits

Fluent (Wernickes) aphasia - answerOften the person speaks easily but the content
does not make sense