use Study , Chapter 67 Management of Patients With Cerebrovascular Disorders Penny Williams , a 74 - year- old patient is admitted to the telemetry...

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use Study , Chapter 67 Management of Patients With Cerebrovascular DisordersPenny Williams , a 74 - year- old patient is admitted to the telemetry unit with thediagnosis of acute ischemic stroke . The patient is experiencing paroxysmal atrialfibrillation with a controlled ventricular rate on the monitor . A CT of the head withoutcontrast reveals no evidence of hemorrhage . The transesophageal echocardiogram revealsmoderate mitral valve insufficiency and embolism as a primary cause of the stroke . Thepatient is on a weight - based heparin protocol . The patient received digitalis to keep theventricular rate of the atrial fibrillation controlled The patient has right - sided paralysisand global aphasia . The patient has unilateral neglect of her right side and has right fieldhomonymous hemianopia Papilla edema is present bilaterally . The patient is droolingfrom the right side of her mouth and coughs periodically . The patient was found by herdaughter when she got home from work The daughter stated her mother was normalbefore she left for work and 10 hours later the mother exhibited the symptoms describedabove . The time of onset for the stroke could not be safely determined so no interventionscould be used to treat the stroke . ( Learning Objective 4 )a . What principles of nursing management should the nurse provide the patientduring the acute stage of the ischemic stroke based on the assessment findingsfrom the case study ? Place the assessment findings that are supported by thenursing principle ( s ) in parenthesis .John Green . a 71 - year -old patient , is being discharged from the rehabilitation unit 8weeks after an ischemic stroke . The patient's spouse stated that they used to enjoy goingto golf outings with their friends , but the patient has not played golf since he had thestroke , and she does not want to try to golf once her husband is discharged home becausehe has to use a walker and can barely ambulate . She also states that her husband still hastrouble speaking , and his short term memory is not very astute so it would beembarrassing to be on a golf outing with him . The patient's spouse has worn the sameoutfit to the rehabilitation unit the past 3 days and the nurse notices the patient's hair isunkempt and his affect is flat . The rehab nurse has made arrangements with the socialworker for a physical therapist . speech therapist , and occupational therapist to providethree sessions of therapy at the patient 's home for the next 4 weeks and then areevaluation will follow to determine if the patient will need further therapy . The patientis able to sit independently , stand independently , and use a walker . The patient is able toambulate 30 feet with the walker , and then he requires a short rest before he is able toambulate another 30 feet . The patient slurs words occasionally and has hesitant speechThe patient has problems with short term speech . ( Learning Objective ? )What educational topics should the nurse provide the family about home care forthe patient after stroke