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NUR 301: Final Exam: Lecture 3.3: Actual Lecture: Nursing care of the patient with neurological disorders Exam Questions And Answers. Verified And Updated.$12.49
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NUR 301: Final Exam: Lecture 3.3: Actual Lecture: Nursing care of the patient with neurological disorders Exam Questions And Answers. Verified And Updated.
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Course
NUR 301
Institution
NUR 301
NUR 301: Final Exam: Lecture 3.3: Actual
Lecture: Nursing care of the patient with
neurological disorders Exam Questions And
Answers. Verified And Updated.
Not enough dopamine - answerWhat is parkinsons disease a result of
it can cause the patient to look like they have schizophrenia - answerW...
NUR 301: Final Exam: Lecture 3.3: Actual
Lecture: Nursing care of the patient with
neurological disorders Exam Questions And
Answers. Verified And Updated.
Not enough dopamine - answer✔✔What is parkinsons disease a result of
it can cause the patient to look like they have schizophrenia - answer✔✔What can too much
dopamine cause
bradykinesia- lack of movement- causes lack of facial expression - swinging arms -
answer✔✔What is deadpan facial expression a result of
chronic, progressive, insidious, neurodegenerative disease - answer✔✔What is parkinsons
disease
There is not enough dopamine; imbalance between dopamine and acetylcholine (too much) -
answer✔✔What is the problem with parkinsons disease
Tremor
Muscle rigidity
Bradykinesia - answer✔✔What are the triad of symptoms associated with parkinsons disease
Postural instability - answer✔✔Besides the triad of symptoms associated with parkinsons
disease what is another cardinal feature of parkinsons that normally occurs later in the disease
process
"pill-rolling"- rest tremor (most notable when not engaged in purposeful activity) -
answer✔✔What kind of tremor does someone with parkinsons have and when is it most notable
essential tremors ad multiple sclerosis tremors are "action tremors" - answer✔✔How do
parkinson's tremors differ from tremors of other conditions
Tremors- because it decreases with purposeful activity - answer✔✔What is considered the least
debilitating of the cardinal symptoms of parkinsons disease and why
EXAM STUDY MATERIALS July 25, 2024 1:06 PM
,internal tremulousness without noticeable presence of tremor in 50% of patients -
answer✔✔Before tremors with parkinsons are noticeable to other people what may be noticeable
to the patient first
They start unilaterally; then spreads contralaterally in several years - answer✔✔How do tremors
in parkinsons disease start
PROM- jerky quality - answer✔✔With muscle rigidity with Parkinson's what is their increased
resistance to
starts unilaterally then spreads contralaterally like tremors - answer✔✔How does the muscle
rigidity with Parkinson's disease start and how does it spread
generalized slowness in movement - answer✔✔What is bradykinesia
Bradykinesia - answer✔✔What is arguably the most major cause of disability in Parkinson's
disease patients
bradykinesia- usually describe it as "weakness", "incoordination", and "tiredness", often used to
describe decreased ability to initiate voluntary movement - answer✔✔What is the most difficult
symptom of Parkinson's disease for the patient to describe and how do they normally describe it
usually occurs later in the disease process - answer✔✔When does postural instability usually
occur in someone with Parkinson's disease
trouble with balance and falls - called retropulsion- topple backwards : use the "pull" test -
answer✔✔What problem does the patient have if they have postural instability in Parkinson's
disease
also includes neuropsychiatric and non-motor manifestations as well. - answer✔✔Besides
effecting the motor system what else does Parkinson's disease effect?
-cognitive dysfunction and dementia
-psychoses and hallucinations
-Mood disorders
-olfactory dysfunction (may precede motor symptoms)
-sleep disturbances- insomnia
-autonomic dysfunction
-GI dysfunction (constipation)
-pain/sensory disorders - answer✔✔What kind of neuropsychiatric and non-motor
manifestations does someone with Parkinson's disease have
EXAM STUDY MATERIALS July 25, 2024 1:06 PM
, sleep disturbances- insomnia - answer✔✔What is one of the most debilitating neuropsychiatric
and non-motor manifestations of Parkinson's disease
orthostasis (hard time standing), constipation, dysphagia, diaphoresis, urinary difficulties and
sexual dysfunction - answer✔✔What are the autonomic dysfunctions the patient with parkinson's
disease may have
automatic functions that our body does- we dont have to think about it - answer✔✔What are
autonomic functions
97% reported non-motor symptoms, with each patient experiencing an average of 8 non-motor
symptoms - answer✔✔in the study of 1000 patients what % reported non-motor symptoms
-short, shuffling gait
-bland facial expression
-forward tilt to posture
-slow, monotonus slurred speech
-tremor - answer✔✔What are the characteristic appearance of a patient with parkinson's disease
progressive shrinking of hand writing - answer✔✔What is microphagia or micrographia
a Parkinson's patient - answer✔✔Who may have microphagia
-No specific diagnostic tests, so based on history and clinical features - answer✔✔How is
Parkinson's disease diagnosed
2 of the 3 - answer✔✔How many of the triad signs must be present to diagnose someone with
Parkinson's disease
positive response to antiparkinsonian drugs - answer✔✔What is the ultimate confirmation of
someone with Parkinson's disease
No cure, just relieve the symptoms - answer✔✔Is there a cure for Parkinson's disease
aimed at correction neurotransmitter imbalance; either enhance release of dopamine or
antagonize effects over cholinergic eurons - answer✔✔What is the drug therapy for Parkinson's
disease aimed at
Levodopa - most effective drug for symptomatic PD, particularly bradykinesia - answer✔✔What
is the gold standard drug for Parkinson's disease
-dopamine agonists- as monotherapy or in combination
-anticholinergics- monotherapy - answer✔✔What other drugs may be used for Parkinson's
disease
EXAM STUDY MATERIALS July 25, 2024 1:06 PM
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