Situation: A 70-year-old patient diagnosed with a hemorrhagic stroke was admitted 1 day in the past. His medical historical past consists of hypertension, osteoarthritis, and kind 2 diabetes mellitus. He has right-sided paralysis, garbled speech, and a weak cough reflex. This morning he’s very stressed. Very important indicators: Blood stress 140/80, pulse 110, respirations 24. Oxygen saturation is 90%.
NGN Merchandise Kind: Take Motion
Use an X to point which actions listed within the left column can be carried out to stop issues on this patient.
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Actions carried out
– Administer subcutaneous heparin.
– Implement seizure precautions.
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-Apply oxygen by way of cannula at 2 L/min.
– Seek the advice of with the dietician to supply the patient with a diabetic weight-reduction plan.
– Place the patient on his proper aspect for now not than 2 hours.
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-Carry out passive ROM workouts.
– Elevate head of mattress 45 levels.
Rationale: Present a rationale for every of your sele