NURSING > EXAM > Stroke HESI Case Study Mr. Hubert Jones, a 72-year-old African American ... (All)

Stroke HESI Case Study Mr. Hubert Jones, a 72-year-old African American ...

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Stroke HESI Case Study Mr. Hubert Jones, a 72-year-old African American male widower, lives with his son, Barry Jones. Mr. Jones tells his son that he has a headache and that he is not feeling well. Barry notices some left-sided weakness in his father and The Emergency Department (ED) nurse completes the admission assessment. Mr. Jones is alert but struggles to answer questions. When he attempts to talk, he slurs his speech and appears very frightened. Which additional clinical manifestations should the nurse expect to find if Mr. Jones' symptoms have been caused by a stroke? Following the ED healthcare provider's (HCP) assessment, the ED nurse continues to assess Mr. Jones every 15 minutes. Mr. Jones' son, Barry sits at the bedside while the nurse assess Mr. Jones. Which assessment findings warrant immediate intervention by the nurse? Due to his deteriorating condition, the neurologist is consulted to see Mr. Jones immediately. The nurse suspects that Mr. Jones has probably suffered a right-sided stroke. Which clinical manifestations further support this assessment? The neurologist writes a diagnosis of "suspected stroke" and prescribes a computed tomography (CT) scan without contrast STAT. Which intervention should the nurse implement when preparing Mr. Jones and his son for this procedure? The neurologist also prescribes a magnetic resonance imaging (MRI) of the head STAT. Which data warrants immediate intervention by the nurse concerning this diagnostic test? Over the next 24 hour, Mr. Jones' SaO2, potassium level, and telemetry readings are within normal limits for his age, but his cardiac output decreases. The HCP needs to be notified regarding decreased cardiac output to decide whether to initiate IV fluid if hypovolemia is an issue and to determine other medical interventions.Which nursing interventions would be priority at this time? Barry is visibly upset and states, "Dad has been fine all week. We even went out to dinner. I love him so much and I am scared." How should the nurse respond? Which nursing care task should the nurse delegate to the UAP? (Select all the apply.) With a diagnosis of a stroke, which priority intervention should the nurse include in Mr. Jones' plan of care? The HCP orders 360 mL of liquid nourishment diluted with one can of water to be infused over 8 hours. The feeding will be administered through an infusion pump, which infuses in mL/hr. At what rate would the nurse set the infusion pump? (Enter numerical value only. If rounding is necessary, round to the whole number.) The neurologist diagnoses an ischemic right-sided stroke. The neurologist determines that Mr. Jones is not a candidate for tissue plasminogen activator (tPA). Enoxaparin 1 mg/kg subcutaneously every 12 hours is prescribed.Mr. Jones weighs 170 pounds. How many mg of enoxaparin will the nurse administer in each dose? (Enter the numerical value only. If rounding is required, round to the whole number).

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