Answer Happy

Case Study J.K. is a 57-yr-old white woman who was referred to the neurosurgery service for management of a temporal-parietal glioblastoma. She was diagnosed after presenting with persistent headaches, a seizure in her HCP's office, and left side upper visual field loss and neglect. Her MRI/MRA showed a temporal- parietal glioblastoma that extends into the occipital lobes. She was scheduled for surgery to debulk the tumor. J.K. lives alone and holds a management position. She was concerned about her ability to return to work after her surgery. J.K. returned from surgery to the neurosurgery unit drowsy but following commands. Her pupils were equal and responded to light. During the night J.K. developed left-sided weakness of both arm and leg. She is now having difficulty with answering questions.
Subjective Data - Left arm and leg are weak and feel numb 1. How - She is trying to answer questions but looks confused and cannot follow commands Objective Data - BP 150/90 mm Hg - Right gaze preference - Left homonymous hemianopsia - Left arm weakness (3/5) greater than leg weakness (4/5) Decreased sensation on both left arm and leg - Has speech but not clear. Difficulty with word finding and following commands - CT scan shows a hemorrhagic stroke into the site of the tumor bed, and temporal-parietal and anterior occipital areas extending into the thalamus 2. Priori for deve 3. Prio the pri 4. Pri
Discussion Questions 1. How did J.K.'s diagnosis (glioblastoma) put her at risk for a stroke? 2. Priority Decision: What potential complications is J.K. at highest risk for developing? 3. Priority Decision: Based on the assessment data provided, what are the priority nursing diagnoses? Are there any collaborative problems? 4. Priority Decision: What are the priority nursing interventions for J.K.?
Discussion Questions 5. Collaboration: What nursing interventions for J.K. can the RN delegate to UAP? 8. Sat homo 6. What strategies can you implement to improve communication for J.K.? 9. Pat her fi 10. D 7. Collaboration: How would you involve other interprofessional team members in J.K.'s care?
G Discussion Questions 8. Safety: How can you ensure safety for J.K. in light of her homonymous hemianopsia and left-sided neglect? 9. Patient-Centered Care: How can you address J.K.'s concerns about her finances and self-care? 10. Develop a conceptual care map for J. K.