Mrs Thelma Jacobs

Question 1

Mrs Thelma jacobs a 72 year old female is brought in with a lowered level of consciousness (Loc) and sore right rip. She was found by her husband on the bathroom floor, her husband states she is having difficulty speaking, seems confused about was unable to stand up due to some weakness and pain in the right arm and leg. Thelma has a history of depression, high cholesterol and hypertension

• what is the most appropriate assessment for Mrs Jacobs ?

Answer 1

Glasgow coma scale

Question 2

In the ABCDE of initial assessment and treatment in acute situations, the D refers to:

Answer 2

Disability

Question 3

Damage to which area of the brain is likely to have resulted in thelma’s symptoms? 
I. Broca’s area 
II. Occipital lobe 
III. Frontal lobe 
IV. Primary somatosensory area 
V. Promoter area

Answer 3

Both I and III

Question 4

Identify an appropriate nursing diagnosis for Thelma

Answer 4

Falls risk r/t confused state and right sided weakness

Question 5

An are appropriate SMART goal for Thelma is?

Answer 5

“For Thelma to have a pain score of _<1 by the end of today’s shift”

Question 6

Identify the correct nursing intervention for Thelma out of these:

• preform a pain scale as part of checking Thelma’s vital signs
• provide pressure area care every four hours or as often as needed
• withhold any food or fluids until her ability to safely swallow has been assessed by a speech language therapist

Answer 6

All of the above

Question 7

Which critical thinking skill helps you to see relationships among the data?

Answer 7

Clustering related cues