Patient Profile B.W. is a 72-year-old white female admitted 2 days…

Question Answered step-by-step Patient Profile B.W. is a 72-year-old white female admitted 2 days…  Patient ProfileB.W. is a 72-year-old white female admitted 2 days ago to the medical unit with a stroke. She has left-sided hemiparesis. A noncontrast CT scan, about 2 hours after the onset of symptoms, was negative. A second CT scan, 12 hours later, was positive for an ischemic area in the right hemisphere. Objective DataPhysical ExaminationPupils equal, round, reactive to light and accommodationDecreased sensation in left lower extremity, no sensation in left upper extremity, normal sensation to right upper and lower extremity0/5 strength left upper extremity, 1+/5 left lower extremity, 5/5 right upper and lower extremityLeft facial droopSlurred speechDiagnostic StudiesA barium swallow study has been ordered for 1:00 PM Subjective DataDaughter is at the bedside, she is upset and tearful, stating “Mom doesn’t know where she is and she keeps waving her arm at me and getting upset, trying to tell me something, and I don’t know what she is trying to tell me.” Discussion QuestionsWhy was the first CT scan negative? What implication did this have on B.W.’s care?What is the difference between an ischemic and a hemorrhagic stroke?What are the different manifestations of right-sided versus left-sided stroke?Why was the barium swallow study ordered?Based on B.W.’s assessment findings, what are the priority nursing diagnoses?Outline a fall risk reduction plan to reduce B.W.’s risk of falling.You acknowledge her daughter’s distress and the difficulties that problems with speech can pose of B.W. and her. Describe nursing interventions to assist B.W. impaired communication. Health Science Science Nursing Share QuestionEmailCopy link Comments (0)