Question

Weakness

A 40-year-old male client was admitted to the hospital for significant weakness. Which has gotten worse over the last year. The client attributed the symptoms to the long working hours required as part of his job (chief executive officer of a health system). When the symptoms first started, the client would resolve with rest so he thought the symptoms were due to fatigue. Recently the client has had vision changes and difficulty urinating. The nurse has performed an assessment and obtained the following data: weakness that has been getting worse, tremors, fatigue, slowed speech, unsteady gait, blurred vision and numbness.

1. The nurse would develop a plan of care for which priority nursing diagnosis?
2. What nursing interventions are essential for the nurse to identify?
3. In addition to the neurological assessment what other assessments should the nurse complete?
4. What information should the nurse document as subjective?

Answer 1

- Priesity Nassing diagnosis a. Acternity intolerance related to tremers, unsteady gait, fatigune secondaly reci logical des oreles b. Risk for fall related to excusine falegice, tremers, unsteady gent, secondary to neun logical disoseless. 2. Essential Nursing enterventions • Provide activity as tolerated by the patient. 6 Aroad the risk of fall by protective measures. c) Hauntaus fluid balance of the body e Marrtewo comfort and communicates effectively. e) Rebecine fear and assily related arstenown outcome. Establish and maintains good rapport with the patient 3 Edreate the patient as he tolerated 6) Psycnelaged support for the patient. 3. Assessments other than Neurologeial Assessment 5) Motot Asernment 5) Surnong kosonrossist 9) Boud asrl Bledders Assessmert. ہے امور اور کلر تمام ces chevnges and elifficulty carnating. atque