Cognition

Question 1

the mental action or process of acquiring
knowledge and understanding through thought,
experience, and the senses.

Answer 1

cognition

Question 2

causes of delirium

Answer 2

Advanced cancer
* Alcohol/drugs use
* Electrolyte imbalances
* Dementia
* Hospitalization
– ICU
– PACU
* Infections
* Medications
* Metabolic disorders

Question 3

icu psychosis

Answer 3

environemental
meds- versed
metabolic disorders
circulatory dysfunction- lack to brain
hypoxia
alterations in IC regulaiton
2-3x risk of death

Question 4

pacu delirium

Answer 4

wont d/c until delirium is gone
ketamine
to treat: resedate or antilirium

Question 5

end of life delirium

Answer 5

Metabolic changes
* Disease progression
* Medications
* Infection
* Pain
* Urinary retention
* Constipation

Question 6

nsg considerations deirium

Answer 6

Environmental control
* Medications
* Rest periods
* Reorientation
* Family support
* Catheterization
* Bowel regimen
WANT PT AWAY FROM NSG SATION

Question 7

cognitive impairment

Answer 7

General term that
encompasses any
type of mental
difficulty or
deficiency
Wide variety of
challenges and
abilities
Wide variety of
causes

Question 8

cog impairment etiology

Answer 8

nfection / Intoxication
* Trauma
* Physical Agent
* Inadequate nutrition
* Metabolic disorders
* Gross postnatal brain disease
* Unknown prenatal influence
* Chromosomal abnormalities
* Gestational disorders
* Psychiatric disorders
* Environmental influences
hypoxic event in utero

Question 9

prevention of cog impairment

Answer 9

Prenatal
– Optimal health care of the high-risk
newborn
– Rubella Immunization
– Genetic Counseling
– Prenatal Screening
– Folic Acid
– Newborn Metabolic Screening
– Early Intervention

Question 10

symtpms of cog impairment at birth

Answer 10

Dysmorphic features
– Irritability or unresponsiveness to contact
– Abnormal eye contact during feeding
– Gross motor delay
– Decreased alertness to voice or movement
– Language difficulties or delay
– Feeding difficulties
dont like being snuggled

Question 11

adhd core symptoms

Answer 11

inattention
hyperactivity
impulsivity

Question 12

adhd complications

Answer 12

Poor school performance
* Higher risk for injury/accidents
* Higher risk of substance abuse
* Higher risk of delinquent behavior
depression

Question 13

what do amphetamines do

Answer 13

help with focus

Question 14

side effects of amphetamines

Answer 14

htn
tahcycardia
nausea
wt loss
decreased appetite
insomnia- can treat w/ clonidine
tic
compsilive behaviros
psyhotic reactions

Question 15

adhd med considerations

Answer 15

give after breakfast
give every day whether or not child is in school
consider taking summers off

Question 16

school based interventions adhd

Answer 16

Sit in front, near teacher
* Create daily schedule
* Review material frequently
* Unlimited time for tests
* Break assignments into small tasks
* Give directions one at a time
* Decreased distractions
* Give student “errands” to run
* Help student organize desk, locker

Question 17

autism spectrum disorders

Answer 17

Developmental
impairment in social skills,
communication,
accompanied by
characteristic behaviors,
activities
fastest grwoing pediatric disability

Question 18

when is autism usually apparent by

Answer 18

18 months
usually diagnosed at 3 y/o

Question 19

what do you do before diagnosing with autism

Answer 19

HEARING TEST

Question 20

common presenting symptoms autism

Answer 20

oes not talk or babble
– Does not respond to name
– Seems to have hearing impairment
– Violent tantrums
– Odd movements
– Does not smile
– Poor eye contact
– Obsessions/compulsions

Question 21

asd interventions

Answer 21

Early intervention
– Speech therapy
– Occupational therapy
– Sensory training
* Family therapy
* Additional structure
* Social skills training
* Communication skills training
* Behavior modification
* Support academic skills
* +/- medications

Question 22

as a nurse what should you know before taking care of asd child

Answer 22

what are their triggers
what calms them down

Question 23

risk for down syndrome

Answer 23

maternal/parental age old
teens

Question 24

down syndrome manifestations

Answer 24

Microcephaly
o Almond-shaped, up-slanting eyes
o Small, down-turned mouth
o Protruding tongue- AIRWAY PROBLEMS
o Small, low-set ears
o Short hands
o Congenital heart defects
o Hypotonia- weak
simian crease

Question 25

assocoauted probelsm with downs

Answer 25

Congenital Heart Malformations
* Respiratory Tract Infections- struggling coughing up stuff d/t weak muscles
* Hypotonicity of Chest and Abdominal
Muscles
* Immune System Dysfunction
* Thyroid Dysfunction (esp. congenital
hypothyroidism)- obesity
* Leukemia
* Alzheimer’s disease

Question 26

downs nsg considerations

Answer 26

VACCINATIONS