Title: Module Case Study: Neurological
Course: NUR 2710C Adult Health Nursing II > Section: Module 5:1 Neurological/Musculoskeletal

Review the following Case Study then answer the questions below.  Each question is worth 12 points.

Write your answers in a Word Document.  Save the file with your name and the title of the module then attach it here for grading.

Each case study should be read thoroughly for understanding of the situation and then analyzed by answering the questions with specific information to introduction of patient, problem, pathophysiology, nursing physical assessment, nursing process, recommendations and community resources. For maximum effectiveness it is essential to complete learning objectives and assigned readings prior to the analysis of the case study and to utilize the nursing process and critical thinking to assist with decision-making. The case study rubric is provided to assist with performance expectations.

Z.S. is a 41 year-old African American who currently is the owner of two Zaxby’s Restaurants, married and the father of two girls. He lives an active life and enjoys playing basketball with old college friends on the weekends. He developed weakness of the left side of his body, loss of vision in one eye, and an inability to speak when getting out of bed this morning. He sat on the edge of the bed and the symptoms resolved in about 20 minutes. His wife insisted that she bring him to the emergency department. Z.S. is insisting that he is fine and doesn't need to see a doctor although he has been managing his blood pressure with diet and exercise but no current medications. Over his protests, his wife whom is a nurse practitioner takes his vital signs and assessment findings include the following vital signs: blood pressure 194/108 mm Hg, heart rate 84 beats/min, respiratory rate 22 breaths/min, and temperature 97.8° F (36.6° C).  She immediately takes him to the urgent care facility. Upon arrival and assessment by the physician he moves all of his extremities well, he has equal grip strength in his hands, and his pupils react equally and briskly to light. He states, “ that he doesn't smoke or drink alcohol, but he enjoys his share of fried foods.” His vital signs at the facility are currently blood pressure 200/110 mm Hg, heart rate 89 beats/min, respiratory rate 24 breaths/min, and temperature 97.8° F (36.6° C).

Questions:

1. What are the nursing priorities at this time for the client?

2. Describe clinical manifestations of a stroke that a nurse should interpret.

3.  Explain classification, usage, side effects, nursing priorities when administering t-PA. Discuss timeframe

4. Explain two non-modifiable and modifiable risk factors for stroke and ways in which the nurse can explain them to the client.

5.  Based on assessment data, describe potential complications for untreated hypertension.