Mrs Thelma Jacobs Flashcards
What is the most appropriate assessment for Mrs Jacobs?
A. Peripheral Vascular.
B. Apical pulse.
C. Glasgow Coma Score.
D. Special senses.
C. Glasgow Coma Score.
In the ABCDE of initial assessment and treatment in acute situations, the ‘D’ refers to:
A. Defibrillation.
B. Danger.
C. Disease.
D. Disability.
A. Defibrillation.
Damage to which area of the brain is likely to have resulted in Thelma’s symptoms?
- Broca’s area.
- Occipital lobe.
- Frontal lobe.
- Primary somatosensory area.
- Premotor area.
- Broca’s area & 3. Frontal lobe
Identify an appropriate nursing diagnosis for Thelma.
A. Falls risk related to confused state and right sides weakness.
B. Impaired communication related to CVA (Cerebrovascular Accident).
C. Pain in left hip related to the fractured neck of femur.
D. Impaired mood related to depression.
A. Falls risk related to confused state and right sides weakness.
An appropriate SMART goal for Thelma is?
A. “For Thelma not to have a fall.”
B. “For Thelma to have pain score of <=1 by the end of today’s shift.”
C. “Thelma’s risk of falls will be reduced.”
D. “For Thelma to be able to mobilise to the toilet with assistance of one person.”
B. “For Thelma to have pain score of <=1 by the end of today’s shift.”
Identify the correct nursing intervention for Thelma.
A. Perform a pain scale as part of checking Thelma’s vital signs.
B. Provide pressure area care every four hours or as often as needed.
C. Withhold any food or fluids until her ability to safely swallow has been assessed by a speech-language therapist.
D. All of the above.
D. All of the above.
Which critical thinking skill helps you to see relationships among the data?
A. Validation.
B. Clustering related cues.
C. Identifying gaps in data.
D. Distinguishing relevant from irrelevant.
B. Clustering related cues.
