Prepare to administer recombinant tissue plasminogen activator (rt-PA).
Discuss the precipitating factors that caused the symptoms.
Schedule for a STAT computed tomography (CT) scan of head.
Notify the speech pathologist for an emergency consult.
Hemiparesis of the client’s left arm and apraxia.
Paralysis of the right side of the body and ataxia.
Homonymous hemianopsia and diplopia.
Impulsive behavior and hostility toward family.
A 55-year-old African American male.
An 84-year-old Japanese female.
A 67-year-old Caucasian male.
A 39-year-old pregnant female.
Position the client to prevent shoulder adduction.
Turn and reposition the client every shift.
Encourage the client to move the affected side.
Perform quadriceps exercises three (3) times a day.
Instruct the client to hold the fingers in a fist.
Observing the client swallowing for possible aspiration.
Positioning the client in a semi-Fowler’s position when sleeping.
Placing a suction set-up at the client’s bedside during meals.
Referring the client to an occupational therapist for evaluation.
The assistant places a gait belt around the client’s waist prior to ambulating.
The assistant places the client on the back with the client’s head to the side.
The assistant places her hand under the client’s right axilla to help him/her move up in bed.
The assistant praises the client for attempting to perform ADLs independently.
An oral anticoagulant medication.
A beta-blocker medication.
An anti-hyperuricemic medication.
A thrombolytic medication.
Obtain a rubber mat to place under the dinner plate.
Purchase a long-handled bath sponge for showering.
Purchase clothes with Velcro closure devices.
Obtain a raised toilet seat for the client’s bathroom.
Potential for injury.
Disturbed thought processes.
A blood glucose level of 480 mg/dL.
A right-sided carotid bruit.
A blood pressure of 220/120 mm Hg.
The presence of bronchogenic carcinoma.
Administer a nonnarcotic analgesic.
Prepare for STAT magnetic resonance imaging (MRI).
Start an intravenous line with D5W at 100 mL/hr.
Complete a neurological assessment.
Administer a stool softener BID.
Encourage the client to cough hourly.
Monitor neurological status every shift.
Maintain the dopamine drip to keep BP at 160/90.