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Discuss the A to E (Airway, Breathing, Circulation, Disability, Exposure) assessment approach for Mrs Teresita Manalo, who is experiencing an Embolic Stroke with decreased level of consciousness, slurred speech and left sided weakness.

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Assessment 2

Aim of the Assessment

The purpose of this assessment is to enable you to:

  1. Demonstrate knowledge of a comprehensive assessment for a patient with an embolic stroke, using the A to E (Airway, Breathing, Circulation, Disability, Exposure) 
  2. Identify and discuss relevant diagnostic results to inform clinical decision-making and implementing high-priority interventions to optimise patient outcomes.
  3. Identify and discuss key evidence based high priority nursing interventions for managing a patient with an embolic stroke
  4. Demonstrate effective management to optimise the care of a patient with an embolic stroke by administering prescribed therapies and medications

Students are to use evidence-based literature to support answers for the following questions.

Q1. Discuss the A to E (Airway, Breathing, Circulation, Disability, Exposure) assessment approach for Mrs Teresita Manalo, who is experiencing an Embolic Stroke with decreased level of consciousness, slurred speech and left sided weakness. In your discussion, integrate relevant vital signs and explain how they inform your clinical decision-making.
Q2. List four high priority nursing interventions for managing Mrs Manalo’s embolic stroke and briefly discuss your rationales for each.
Q3. Select any 3 of the following medications and discuss each of the nursing considerations (i.e., Assessment, Administration and Side Effects) when administering the following therapies and medications to Mrs Manalo.
• IV Alteplase
• Heparin IV infusion
• Metoprolol 50mg BD
• Pantoprazole 40 mg Daily

Assessment Summary

Assessment Type: Clinical Nursing Assessment – Embolic Stroke Case Study

Aim:
The purpose of this assessment is to evaluate a student’s ability to:

  • Conduct a comprehensive A to E assessment (Airway, Breathing, Circulation, Disability, Exposure) for a patient with an embolic stroke.
  • Identify and interpret diagnostic results to inform clinical decision-making.
  • Implement evidence-based, high-priority nursing interventions.
  • Administer prescribed therapies and medications safely.

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