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Global aphasiaGlobal aphasia occurs when all language functions are affected. Receptive aphasia, also known as Wernickes aphasia, affects the ability to comprehend written or spoken words. Expressive aphasia, also known as Brocas aphasia, affected the patients ability to form language and express thoughts. Conduction aphasia refers to abnormalities in speech repetition.

Promoting weight-bearing exercisesWhen the mechanical stressors of weight bearing are absent, diffuse osteoporosis can occur. Therefore, if the client does weight-bearing exercises, disuse complications can be prevented. Maintaining protein and vitamins levels is important, but neither will prevent osteoporosis. ROM exercises will help prevent muscle atrophy and contractures.

Call the physician immediately. The headache may be an indication that the aneurysm is leaking. The nurse should notify the physician immediately. Sitting with the client is appropriate but only after the physician has been notified of the change in the clients condition. The physician will decide whether or not administration of an analgesic is indicated. Informing the nurse manager isnt necessary.

Elevating the head of the bed to 30 degreesBecause the clients gag reflex is absent, elevating the head of the bed to 30 degrees helps minimize the clients risk of aspiration. Checking the stools, performing ROM exercises, and keeping the skin clean and dry are important, but preventing aspiration through positioning is the priority.

ObesityObesity is a risk factor for CVA. Other risk factors include a history of ischemic episodes, cardiovascular disease, diabetes mellitus, atherosclerosis of the cranial vessels, hypertension, polycythemia, smoking, hypercholesterolemia, oral contraceptive use, emotional stress, family history of CVA, and advancing age. The clients race, sex, and bronchial asthma arent risk factors for CVA.

Place the client on the affected side.To help prevent airway obstruction and reduce the risk of aspiration, the nurse should position a client with hemiparesis on the affected side. Although performing ROM exercises, providing pillows for support, and applying antiembolism stockings can be appropriate for a client with CVA, the first concern is to maintain a patent airway.

Weakened (L) side of the client away from bed.With a right-sided cerebrovascular accident the client would have left-sided hemiplegia or weakness. The clients good side should be closest to the bed to facilitate the transfer.

1. turn him frequently.-the most important intervention to prevent pressure ulcers is frequent position changes, which relieve pressure on the skin and underlying tissues. if pressure isnt relieved, capillaries become occluded, reducing circulation and oxygenation of the tissues and resulting in cell death and ulcer formation. during passive rom exercises, the nurse moves each joint through its range of movement, which improves joint mobility and circulation to the affected area but doesnt prevent pressure ulcers. adequate hydration is necessary to maintain healthy skin and ensure tissue repair. a footboard prevents plantar flexion and footdrop by maintaining the foot in a dorsiflexed position.

1. turn him frequently.-the most important intervention to prevent pressure ulcers is frequent position changes, which relieve pressure on the skin and underlying tissues. if pressure isnt relieved, capillaries become occluded, reducing circulation and oxygenation of the tissues and resulting in cell death and ulcer formation. during passive rom exercises, the nurse moves each joint through its range of movement, which improves joint mobility and circulation to the affected area but doesnt prevent pressure ulcers. adequate hydration is necessary to maintain healthy skin and ensure tissue repair. a footboard prevents plantar flexion and footdrop by maintaining the foot in a dorsiflexed position.