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NURS623 Clinical Analysis Practice Exam With Answers (65 Solved Questions)

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    MARYVILLE NURS 623 EXAM 4 /65 QUESTIONS AND ANSWERS (A+) What is important to note when a patient has traumatic injury - =If taking Blood Thinners - Define delirium - =Underlying acute cause, abrupt onset, hours to days, reversible, hallucinations, incoherent speech, confusion - Define Dementia - =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? - = Agitation and restlessness - At the onset of Alzheimer’s, what category of medications should be initiated? - =Cholinesterase inhibitors - what factors contribute to a patient being high risk for falls? - =History of falls medications vision impairment hea rt 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 - =living at home and calling PCP

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    instead of 911 leads to prolonged stroke symptoms a nd long - term effects - S/S of an Absence Seizure - =Blank stare (upward rotation of eye) - Red Flags of back/neck pain - =Incontinence Fever Cancers Unexplained wt. loss Long term steroids Trauma IV drug abuse Intense local pain No comfy Position - Diagnosing of Alzheimer's - =Impaired ability to learn new info along with a disturbance in language, function, or perception - S/S of Alzheimer's - =*C/O memory problems * ↑ cognitive difficulty * ↑ slow response to cognitive challenge *Word - finding dif ficulty * ↑ difficulty with simple tasks - cardinal features of Parkinson's (TRAP)? - =*T - remor at rest (or pill rolling) *R - igidity *A - kinesia/Bradykinesia *P - ostural Disturbances

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    - What disease is "freezing phenomenon" a characteristic of? - =Parkinson's - A 62 y/o patient calls and c/o of a headache what statement would cause the most concern? - =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 an d easily forgotten by the patient. - =Temporal arteritis - s/s of temporal (giant cell) arteritis - =* 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 - =>50 - Clinical manifestations of Articular disorders? - =*characterized by deep or diffuse pain, pain or limited ROM on active and passive movement *Swelli ng *Crepitus - Clinical manifestations of non - Articular disorders? - =*Tend to be painful on active but not passive (assisted) ROM. *Seldom demonstrate swelling, crepitus, instability, or deformity by itself.

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