Mr. Samuel Johnson is a 64-year-old African American male admitted

Question Mr. Samuel Johnson is a 64-year-old African American male admittedto the hospital with a medical diagnosis of Cerebral Vascular Accident (CVA).Interview DataMr. Johnson is accompanied by his wife who states that he was ‘perfectly fine’ this morning when he developed severe, sudden headache. He fell to the floor and she was unable to get him to his feet. Mrs. Johnson said he was ‘mumbling” but that she could not understand what he was saying. Mrs. Johnson said she called 911 and he was transported to the hospital via ambulance.PMH: Type II diabetes and HTN.Social: 2 pk history X 40 years, quit last year.Examination DataAwake, alert man; unable to talk but follows command. Cries and avoids eye contact. CN II, IV, V, VI & VIII intact bilaterally.1.    Is there any additional history data that you wish to have in your investigation of the patient’s complaint?2.    Is there any additional physical exam you want to do in your physical assessment?3.    Identify abnormal data vs. normal data in report.Abnormal                                Normal4.    Discuss risk factors for Mr. Johnson.5.    Identify appropriate referrals to be considered for Mr. Johnson.6.    Identify three nursing diagnoses for Mr. Johnson at this time.7.    Identify the CN tested – by name and type. CN                        Name                                    Type                        8.    You note that Mr. Johnson’s face is asymmetrical with unequal movement and drooping of left side. He has asymmetrical shoulder shrug with weakness noted on left side. Mr. Johnson is a9.    able to follow command for supination and pronation of right hand – unable to perform with left hand. Light touch with sharp and dull sensation is present on right arm and leg: no sensation on left arm or leg. Right arm and leg muscle strength is 5, left arm and leg muscle strength = 1. He is unable to move around in bed unassisted.Identify abnormal data from normal data. Abnormal                                            Normal           10. Upon arrival from the ED, you transfer Mr. Johnson to his bed, take VS and check physician’s orders. You transfer the O2 at 2 L and take a set of VS. Vital signs for Mr. Johnson would include:                       11. You inspect and palpate the lower extremities. What are you looking for?12. Mr. Johnson’s presentation makes you suspect of what medical diagnosis?Write a brief summary of the medical diagnosis.  What signs and symptoms support your suspicion? Health Science Science Nursing HLTH MISC Share QuestionEmailCopy link Comments (0)