Docsity
Docsity

Prepare for your exams
Prepare for your exams

Study with the several resources on Docsity


Earn points to download
Earn points to download

Earn points by helping other students or get them with a premium plan


Guidelines and tips
Guidelines and tips

MARYVILLE NURS 623 EXAM 4 QUESTIONS & ANSWERS 100% CORRECT, Exams of Gerontology

MARYVILLE NURS 623 EXAM 4 QUESTIONS & ANSWERS 100% CORRECT 1. MARYVILLE NURS 623 Exam 4 study guide with answers 2. 100% correct NURS 623 Exam 4 practice questions 3. Maryville University NURS 623 Exam 4 preparation tips 4. NURS 623 Exam 4 sample questions and solutions 5. Maryville nursing program NURS 623 Exam 4 review 6. NURS 623 Exam 4 key concepts and answers 7. Maryville University nursing exam 4 study materials 8. NURS 623 Exam 4 question bank with explanations 9. Maryville NURS 623 Exam 4 test-taking strategies 10. NURS 623 Exam 4 topic breakdown and answers 11. Maryville nursing NURS 623 Exam 4 flashcards 12. NURS 623 Exam 4 past papers with solutions 13. Maryville University NURS 623 Exam 4 study group 14. NURS 623 Exam 4 difficult questions explained 15. Maryville nursing program NURS 623 Exam 4 syllabus 16. NURS 623 Exam 4 online practice test with answers 17. Maryville NURS 623 Exam 4 study schedule 18. NURS 623 Exam 4 common mistakes to avoid 19. Maryville University

Typology: Exams

2024/2025

Available from 07/02/2025

Prof.Steve
Prof.Steve 🇺🇸

361 documents

1 / 11

Toggle sidebar

This page cannot be seen from the preview

Don't miss anything!

bg1
1 / 6
MARYVILLE NURS 623 EXAM
4
QUESTIONS & ANSWERS
1. What is important to note when a patient has traumatic injury
ANS If taking Blood Thinners
2. Define delirium
ANS Underlying acute cause, abrupt onset, hours to days, re- versible,
hallucinations, incoherent speech, confusion
3. Define Dementia
ANS Various causes, gradual change with mental status, months to years,
progressive to irreversible (speech, memory, mood, judgment)
4. An older adult with delirium would present with what type of behaviors?-
ANS Agitation and restlessness
5. At the onset of alzheimers, what category of medications should be initi-
ated?
ANS Cholinesterase inhibitors
6. what factors contribute to a patient being high risk for falls?
ANS History of falls medications
vision impairment
heart rate/rhythm
abnormalities footwear issues
home environment
pf3
pf4
pf5
pf8
pf9
pfa

Partial preview of the text

Download MARYVILLE NURS 623 EXAM 4 QUESTIONS & ANSWERS 100% CORRECT and more Exams Gerontology in PDF only on Docsity!

MARYVILLE NURS 623 EXAM 4

QUESTIONS & ANSWERS

1. What is important to note when a patient has traumatic injury

ANS If taking Blood Thinners

2. Define delirium

ANS Underlying acute cause, abrupt onset, hours to days, re- versible, hallucinations, incoherent speech, confusion

3. Define Dementia

ANS Various causes, gradual change with mental status, months to years, progressive to irreversible (speech, memory, mood, judgment)

4. An older adult with delirium would present with what type of behaviors?-

ANS Agitation and restlessness

5. At the onset of alzheimers, what category of medications should be initi-

ated? ANS Cholinesterase inhibitors

6. what factors contribute to a patient being high risk for falls?

ANS History of falls medications vision impairment heart rate/rhythm abnormalities footwear issues home environment

gait/mobility issues poor reflexes

7. What is the primary reason people have long term effects after a Stroke

ANS - living at home and calling PCP instead of 911 leads to prolonged stroke symptoms and long term effects

8. S/S of an Absense Seizure

ANS Blank stare (upward rotation of eye)

9. Red Flags of back/neck pain

ANS Incontinence Fever Cancers Unexplained wt loss Long term steroids Trauma IV drug abuse Intense local pain No comfy Position

10. Diagnosing of Alzheimer's

ANS Impaired ability to learn new info along with a disturbance in language, function, or perception

11. S/S of Alzheimer's

ANS *C/O memory problems

* ‘ cognitive difficulty

* ‘ slow response to cognitive challenge

18. Clinical manifestations of Articular disorders?

ANS *characterized by deep or diffuse pain, pain or limited ROM on active and passive movement *swelling *crepitus

19. Clinical manifestations of Non-Articular disorders?

ANS *Tend to be painful on active but not passive (assisted) ROM. *Seldom demonstrate swelling, crepitus, instability, or deformity by itself.

20. What diagnostic assessment is most useful in a patient who presents with

lumbar radiculopathy? ANS The straight leg raise (assesses L5-S1). pain would indicate most common disc herniation

21. What cranial nerve is affected in Bell's Palsy?

ANS CN VII

22. S/S of Bell's Palsy

ANS * 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)

* Heavy feeling in face

23. How is Bell's Palsy diagnosed?

ANS Clinical history and exam

24. What is a serious risk in patients with Bell's Palsey?

ANS Loss of the ability to blink and close the eyelid subjects the cornea to drying and ulceration

25. Patient teaching for Bell's Palsey

ANS *reassure it is self-limiting with 3-6 month recovery *prevent corneal ulceration/ use artificial tears

26. *unilateral and tends to have a throbbing or pulsatile (head)

*precipitated by aura *nausea *vomiting *photophobia *phonophobia ANS S/S of Migraine H/A

27. A patient reports seeing flashes 20 minutes before having a severe H/A

what type of H/A is it? ANS Classic migraine

28. *unilateral orbital, supraorbital, and/or temporal (headache)

*causes lacrimation, rhinorrhea, and nasal congestion) ANS S/S of cluster H/A

29. bilateral, non-pulsating, tightening (head) pain that is not aggravated

by routine physical activity. It is usually not accompanied by nausea and

36. Can cause neck pain, radiating arm pain, shoulder pain, and numbness or

tingling in the arm or hand. The quality and type of pain can vary from dull, aching, and difficult to localize to sharp, burning, and easy to pinpoint, Can cause weakness in arm (s) ANS Ruptured Cervical Disc

37. In elderly patients, fracture of WHAT would lead to potentially fatal out-

comes or problematic long term issues in elderly patients, ANS Hip Fracture

38. What is gold standard test for dx osteoporosis?

ANS DEXA Bone Density test

39. Was is an important step during examination of an ortho complaint to

be able to have a comparative value of both extremities ANS always exam the non-effected side and then effected side for comparison

40. What medications cause a patient to be at risk for developing osteoporo-

sis? ANS • Glucocorticoids

  • Excessive thyroxine
  • Long-term phenytoin

41. What populations are at risk for developing osteoporosis?

ANS • Age (65+)

* medications

  • Family history
  • Menopause
  • Genetics

42. In a patient who is elderly and falls (does not remember the fall), but there

is no clear cause of falls, what should your workup center around? ANS syncope associated with Cardiac and neurologic causes

43. If a patient is alert and oriented and refuses to give consent for a proce-

dure, how do you move forward as a provider? ANS Respec their wishes, Discuss risks of NOT having procedure, abort procedure, document refusal

44. In elderly patients, what factors can contribute to loss of appetite and

malnourishment? ANS *Diminished taste/smell/vision *dry mouth *poor dentition *chronic illness *meds *pain *depression *loneliness

45. How would you assess for a suspected meniscal tear with a physical

exam? ANS McMurray circumduction test.

* Adequate nutrition (Vit D, calcium, Protein)

*Vit D & Calcium Supplements

*Weight bearing exercises

53. Nodes on (distal) DIP joints secondary to osteoarthritis

ANS Heberden's nodes

54. bony nodes at the proximal interphalangeal joints associated with OA

ANS -

Bouchard's nodes

55. Inflammation of the tendon sheath, also called "mommy thumb"

ANS DeQuer- vains Tenosynovitis Use Finkelstein test (tuck thumb, abduct wrist)

56. Type of fracture secondary to systemic disease

ANS Pathologic fracture

57. an injury to the bone caused by overuse

ANS Stress fracture

58. Common cause of posterior knee pain

ANS Bakers cyst Secondary to other process - osteoarthritis #

59. A distressing Unilateral, painful electric shock sensation (cranial nerve V)

AKA

ANS tic douloureux (unbearable painful twitch). ANS Trigeminal Neuralgia

60. Differentiate between dizziness and vertigo

ANS *Dizziness - sensation of un- steady, feeling of movement in the head *Vertigo - feeling of spinning when you are not moving

61. involves vestibular system, most common causes are benign positional

vertigo, vestibular neuritis, Meniere disease, Imbalance mild to moderate, able to walk, Latency usually 20 minutes ANS Peripheral Vertigo

62. result from lesions affecting the brainstem and cerebellum, imbalance

severe cant walk, Latency usually 5 minutes ANS Central vertigo

63. What is used to treat edema in the labyrinth with Peripheral Vestibular

Disease? ANS Diamox

64. What antibiotic would not require adjusting in the elderly?

ANS Tobramycin

65. What is considered a normal age-related lab change

ANS Increased ESR