Question

another answer

Mr. Ali, the 56-year-old man admitted with a stroke, has many abnormal findings.

He has a history of hypertension, smoking, and mild baseline dementia. He appears fearful and agitated, asking for cigarettes, oriented to name only. His speech is comprehensible but slurred.

Mr Ali is drowsy with periods of confusion. He has impaired short-term memory—remembers zero of three objects after 1 minute. He appears to have left visual field loss. He has right lower facial weakness left tongue deviation. His muscle bulk is symmetrical, tone slightly increased on left arm/leg. He has diminished attention to objects and people on the right side of bed.

A- What nursing assessment findings support the diagnosis of stroke?

B- What problems related to Mr Ali’s safety should the nurse consider?

C- What nursing care plan should the nurse formulate for the patient?

Answer 1

a.The Below table compares Signs and symptoms of Stroke :

Clinical Manifestaion of Stroke	Patient's Exhibits
Slurred speech or dysarthria	His speech is comprehensible but slurred
Double vision or other vision problems	He has diminished attention to objects and people on the right side of bed
Numbness or weakness in your face, arm, or leg, especially on one side	He has right lower facial weakness
Confusion or trouble understanding other people	drowsy with periods of confusion.
Trouble seeing with one or both eyes	He appears to have left visual field loss
Problems walking or staying balanced or coordinated or Imbalance	tone slightly increased on left arm/leg.
Dizziness
Severe headache that comes on for no reason
Nausea and or vomiting

B. Problems a nurse can expect with the patient Ali :
*Impaired physical mobility
*Acute pain related .
*Deficient self-care
*Disturbed sensory perception .
*Impaired urinary elimination
*Disturbed thought processes
*Impaired verbal communication .
*Risk for impaired skin integrity.
*Interrupted family processes
*Sexual dysfunction

C. Nursing Care Planning & Goals:

*The major nursing care planning goals for the patient may include:

*Improve mobility.
*Achievement of self-care.
*Relief of sensory and perceptual deprivation.
*Prevention of aspiration.
*Continence of bowel and bladder.
*Improved thought processes.
*Achieving a form of communication.
*Maintaining skin integrity.
*Restore family functioning.