1. Penny Williams, a 74-year-old patient, is admitted to thetelemetry unit with the diagnosis of acute ischemic stroke. Thepatient is experiencing paroxysmal atrial fibrillation with acontrolled ventricular rate on the monitor. A CT of the headwithout contrast reveals no evidence of hemorrhage. Thetransesophageal echocardiogram reveals moderate mitral valveinsufficiency and embolism as a primary cause of the stroke. Thepatient is on a weight-based heparin protocol. The patient receiveddigitalis to keep the ventricular rate of the atrial fibrillationcontrolled. The patient has right-sided paralysis and globalaphasia. The patient has unilateral neglect of her right side andhas right field homonymous hemianopsia. Papilla edema is presentbilaterally. The patient is drooling from the right side of hermouth and coughs periodically. The patient was found by herdaughter when she got home from work. The daughter stated hermother was normal before she left for work, and 10 hours later themother exhibited the symptoms described above. The time of onsetfor the stroke could not be safely determined so no interventionscould be used to treat the stroke.(Learning Objective 4)
a. What principles of nursing management should the nurseprovide the patient during the acute stage of the ischemic strokebased on the assessment findings from the case study? Place theassessment findings that are supported by the nursing principle(s)in parenthesis.
