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Maryville NURS 623 Exam 4 with complete solution 2021 exam graded A+

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Maryville NURS 623 Exam 4 with complete solution 2021 exam graded A+ 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)

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