Question

A patient with a stroke has received t-PA. Identify your top 5 priority nursing interventions for this patient's care.

What are some important elements that should be included in discharge teaching for a patient who had a right hemisphere stroke?

Answer 1

Ans) TIA:

A change in the normal blood supply to the brain.

Any stroke is a medical emergency that strikes suddenly and it should be treated immediately to prevent neurologic deficit and permanent disability.

Stroke is the 3rd leading cause of death in the United states.

2types:
-Ischemic(Thrombolytic or Embolic):interruption in blood flow of the brain.
-Hemorrhagic:bleeding within or around the brain.

The brain is unable to store oxygen or glucose and must recieve a constant flow of blood to function.

5 priority nursing Interventions:

1) Impaired swallowing

2) Impaired physical Mobility

3) Self care deficit

4) Urinary and bowel incontinence

5) Impaired verbal communication

Discharge teaching:

Teach medications
-Name of drug,dosage,how to take, possible side effects, what to report to the physician.

Assess ambulation/transfer skills
-Return demonstration to evaluate family member's competency

Determine equipment needs for home
-Assistive devices
-safety equipment
-adaptive devices

Arrange rehab appointments or schedule home rehabilitation.