Mrs Winnie Bago

Question 1

80 year old Mrs Bago is a resident of the rest home where you are on student placement, whilst playing cards she becomes unresponsive without warning for about 30 seconds. Five mins has passed and she has now regained consciousness and laying on her bed.
The coordinator reported that she had some slurring of speech immediately after regaining consciousness

• what would be the most appropriate for the student nurse to do next in Winnie?

Answer 1

Preform a Glasgow Cona score (GCS)

Question 2

When preforming a physical examination of Winnie, what would be the most appropriate?

Answer 2

Try to minimise position changes for her

Question 3

What test would be the most appropriate to preform when assessing Winnie’s eye muscle strength and cranial nerve function?

Answer 3

Extra ocular movement test

Question 4

Which nursing assessment will give you objective data relating to the functioning of Winnie’s cerebellum?

Answer 4

Coordination

Question 5

The RN is having trouble eliciting a patella reflex. What will be the most appropriate for the nurse to get Winnie to do?

Answer 5

Lock the fingers together and pull against each other

Question 6

Winnie’s patella reflex is normal. What number do we use to document this?

Answer 6

2+

Question 7

What would be a sign of a frontal lobe contusion?

Answer 7

Difficulty speaking