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The nurse in the emergency department is caring for a 67-year-old male client.
1015: The nurse in the emergency department is caring for a 67-year-old male client. Client brought by family for sudden onset of right-sided weakness and difficulty speaking that began 45 minutes ago. Family reports the client was eating breakfast when he dropped a coffee mug and could not form complete words. Client is awake but has expressive aphasia. Right facial droop and right arm drift are present. Client denies chest pain or shortness of breath.
The nurse reviews the client’s assessment findings and diagnostic data. Complete the diagram by identifying the most likely condition, two priority nursing actions, and two parameters the nurse should continue monitoring.
Actions to Take
Action to Take
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Action to Take
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Condition Most Likely Experiencing
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Parameters to Monitor
Parameter to Monitor
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Parameter to Monitor
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