NRSG 110 Nuro Case study 3............. Exam 2 Folder
What assessment of the spouse does the nurse need to make, and what should the nurse suggest?
The nurse needs to assess the spouse further to determine if the spouse is depressed and/ or suicidal. Depression among the caregiver of stroke survivors is common.
What educational topics should the nurse provide the family about home care for the patient after stroke?
• Discuss what a stroke is, how to prevent a stroke, and the rehabilitation process used to help the patient regain as much self-care and independence as possible.
What principles of nursing management should the nurse provide the patient during the acute stage of the ischemic stroke based on the assessment findings from the case study? Place the assessment findings that are supported by the nursing principle(s) in parenthesis.
• The patient is drooling from the right side of her mouth and coughs periodically. Maintain a patent airway by placing the patient at 30 degrees and side-lying in correct body alignment. Assess the patient's ability to swallow, and notify the physician to obtain a speech therapist consult to assess the patient's ability to swallow and to make recommendations for diet. Keep the patient NPO until it is determined that the patient may handle foods and fluids without risk for aspiration.
