Mrs. Bogart is a 46 y/o lady who has been admitted to the critical care unit following a sub-arachnoid hemorrhage.

Her past medical history includes hypertension, for which she normally takes Atenolol 50 mg daily. Her initial results on admission are : GCS: E3 M4 V2 = 9 BP: 156/87 PULSE: 93 CVP:5mmhg TEMP: 36.7 1. Explain why GCS is the tool of choice in this assessment, and state what the score represent 2. Write down how would you conduct a Neurological assessment on Mrs. Bogart, using GCS. 3. Interpret Mrs. Bogart assessment data. What do they indicate?

Mrs. Jones has been admitted to the hospital with an exacerbation of COPD. Pulse oximitry shows a saturation of 82%, and oxygen therapy is prescribed. 1. How would you explain to Mrs. Jones why she needs oxygen therapy ? 2. Identify complications of oxygen therapy that specifically affect Mrs. Jones. 3. What interventions would be appropriate to Mrs. Jones.

Mr. Churva is admitted to critical care unit. He suffers from MI and receives thrombolysis. He has continuous unresolved pain, and his ECG has failed to show evidence of perfusion. 1. Identify the priorities of his immediate management on admission. 2. Discuss other possible complications that may ensue. 3. What drugs/interventions may be used to manage his condition. Jose Palance, 57 years old, was transferred from the intensive care unit 7 hours ago. Originally admitted with respiratory failure due to an acute exacerbation of COPD, she has been extubated for 10 hours. She is tachypneic, sweating, oxygen sat 87%. She is coughing but unable to expectorate. Auscultation indicates rattling in chest . 1. 2. 3. 4. What would be your rationale for suctioning? Provide a plan of care for this particular skill, describing the procedure. What criteria would you use to evaluate success. Devise a plan of care to the client basing your plan to the situation above.

Mr. Cormer, 34 year old refugee, is admitted to the critical care unit following a 3 week history of acute weight loss, shortness of breath and persistent coughing. On admission he is dyspneic, skin color is pale. He is receiving 35% oxygen via facemask. Assessment data: BP: 130/90 HR: 130 sinus tachycardia TEMP: 37.9 RR. 30 very shallow O2 SAT: 90% Following a chest X-ray a diagnosis of bilateral pneumothorax was made. In view of the history and clinical picture the medical staff suspect that Cormer has pneumocystis carinii pneumonia. 1. Identify the reason for using pulse oximetry monitoring 2. Devise a plan of care that is required to ensure safe use of this monitoring device. 3. Base from the situation above make a nursing care plan.

Robert Jones, 56 year old, is admitted with an acute exacerbation of COPD. He is being treated with oxygen therapy and drugs, including intravenous antibiotics, steroids and nebulisers. He weighs 62 kgs; his skin appears dry and loose. 1. How would you assess Mr. Jones nutritional needs ? 2. Identify the options for nutrition. List the benefits and risk of each. 3. Devise a care plan to minimize the risks identified.