9.13 Learning Activities
Learning Activities
Stroke Case Study (Case Study answers are located in the Answer Key at the end of the book.)[1]
Sandra is a 66-year-old, Native American female brought to the emergency department by her husband. She awoke in the middle of the night and fell when she tried to walk to the bathroom because she could not control her left leg. In the Emergency Department, she was diagnosed with an acute ischemic stroke, but the actual time of the stroke was unknown.
Subjective Data:
- States left arm and left leg feel weak and numb
- Reports feeling depressed and anxious
- Concerned about having another stroke
- States she has not taken her medications for high cholesterol for many weeks and forgets to take her hypertension medications every day
- Reports a brief episode of left-sided weakness and tingling of the face, arm, and hand three months earlier, which she verbalizes “totally resolved” and for which she did not seek treatment
Objective Data:
- BP 180/110
- Left-sided arm weakness 3/5 and leg weakness 4/5
- Decreased sensation on the left side, particularly the hand
- Left homonymous hemianopsia
- BMI of 29
- Alert and oriented and able to verbally respond to questions appropriately but noticeable delay with verbal responses
- Appears tearful and anxious
- Requires help to perform ADLs
- How does the Sandra’s health history put her at risk for a stroke? How can the RN address the client’s concerns and fears regarding the possibility of having another stroke?
- What lifestyle modifications may Sandra have to make?
- Is Sandra a candidate to receive tPA? Why or why not? Provide the rationale for your response.
- What diagnostic tests and medications can you expect the client to receive?
- How will homonymous hemianopsia affect Sandra’s hygiene, ability to drive, eat, and participate community activities?
- What additional assessments can the nurse make to develop interventions to help Sandra and her husband cope with this change in Sandra’s health status?
“Neurological Glossary Cards” by Open RN is licensed under CC BY-NC 4.0
“Epilepsy Quiz” by Open RN is licensed under CC BY-NC 4.0
“Parkinson’s Disease Quiz” by Open RN is licensed under CC BY-NC 4.0
“Case Study: Alzheimer’s Disease” by Open RN and Codaptive Labs is licensed under CC BY-NC 4.0
Test your knowledge on nervous system disorders using this NCLEX Next Generation-style table highlight question. You may reset and resubmit your answers to this question an unlimited number of times.[2]
Test your knowledge on nervous system conditions using this NCLEX Next Generation-style bowtie question. You may reset and resubmit your answers to this question an unlimited number of times.[3]
Test your knowledge on neurological conditions using this NCLEX Next Generation style case study.[4]
Test your knowledge on neurological conditions using this NCLEX Next Generation style case study.[5]
Test your knowledge on neurological conditions using this NCLEX Next Generation style case study.[6]
Telehealth Scenarios
Telehealth is an innovative technology that can bridge the gap between health care professionals and clients, especially for clients who live in remote areas. Telehealth not only makes health care more accessible but can also provide continuity of care and prevent unnecessary hospitalizations. Nurses who provide telehealth services become digital communicators and educators, merging clinical expertise with empathy and effective online communication.
Practice using effective telehealth communication in the following scenarios with Dakotah Thunderhawk, a 75-year-old, Native American male who recently had a cerebrovascular accident and is recovering at home with left side weakness:[7]
Dakotah Thunderhawk, Telehealth Visit 1: Post-hospitalization Follow-Up
Dakotah Thunderhawk, Telehealth Visit 2: Identifying Learning Needs
Dakotah Thunderhawk, Telehealth Visit 3: Evaluating Health Teaching
- “Stroke Case Study” by Open RN is licensed under CC BY-NC 4.0 ↵
- “Nervous System Table Highlight Question" by Kellea Ewen and OpenRN is licensed under CC BY-NC 4.0 ↵
- “Pediatric Nervous System Bowtie" by Jennifer Hinz and OpenRN is licensed under CC BY-NC 4.0 ↵
- “Neurological Case Study 1” by Kellea Ewen for OpenRN is licensed under CC BY-NC 4.0 ↵
- “Neurological Case Study 2” by Kellea Ewen for OpenRN is licensed under CC BY-NC 4.0 ↵
- “Neurological Case Study 3” by Kellea Ewen for OpenRN is licensed under CC BY-NC 4.0 ↵
- “Telehealth Scenarios” by Open RN are licensed under CC BY-NC 4.0 ↵