GCS Advantage Sample Questions

1. Mrs. Frankerson is a 78-year-old female who resides in a long-term care facility. She has no family nearby and pends most of her time watching Family Feud or studying the daily meu from the kitchen. She can ambulate to and from the bathroom with  minimal assistance (gait speed of 0.39 meters per second) and a wheeled walker but usually takes her wheelchair to the dining room, pulling with her legs versus her arms. Her medication list includes cephalexin (Keflex), estradiol (Estrace), glipizide, metformin, levothyroxine (Synthroid), atenolol, furosemide (Lasix), atorvastatin (Lipitor), codeine, and clonazepam (Klonopin). Her past medical history includes hypothyroidism, hypertension, depression, dementia, atrial fibrillation, and arthritis. She has had several falls and you are now treating this client for balance, falls, and lower extremity weakness. The client scores 12 on the Braden Scale. The client is frequently found with urine on her pad. She reports frequently pushing the call light, but limited staff means staff does not always come to assist her on time. 

She has a pink, shiny, and moist wound on her sacrum. No adipose tissue is visible. Your initial goal is improving hip abductor strength. What is the best means to achieve hypertrophy based on this client’s physical presentation?

2. Mrs. Frankerson is a 78-year-old female who resides in a long-term care facility. She has no family nearby and pends most of her time watching Family Feud or studying the daily meu from the kitchen. She can ambulate to and from the bathroom with  minimal assistance (gait speed of 0.39 meters per second) and a wheeled walker but usually takes her wheelchair to the dining room, pulling with her legs versus her arms. Her medication list includes cephalexin (Keflex), estradiol (Estrace), glipizide, metformin, levothyroxine (Synthroid), atenolol, furosemide (Lasix), atorvastatin (Lipitor), codeine, and clonazepam (Klonopin). Her past medical history includes hypothyroidism, hypertension, depression, dementia, atrial fibrillation, and arthritis. She has had several falls and you are now treating this client for balance, falls, and lower extremity weakness. The client scores 12 on the Braden Scale. The client is frequently found with urine on her pad. She reports frequently pushing the call light, but limited staff means staff does not always come to assist her on time. 

Which complaints from the client are appropriately paired with the medication which could be the cause?