Naomi Reed is a 38-year-old female. She was having coffee with her sister at 0600 this morning when she experienced slurred speech, facial droop, and left-sided weakness. Her sister called emergency medical services, and she was rushed to the emergency department and then quickly admitted to an inpatient unit. Ischemic stroke is suspected and recombinant tissue plasminogen activator (rt-PA) therapy has been ordered.
· Naomi Reed:
1. What is the nurse's role in providing family-centered care during and after a crisis?
2. Differentiate the pathophysiological processes and treatment options used in the two major types of stroke.
3. Provide 3 nursing considerations for administration of rt-PA. List and describe potential contraindications for rt-PA administration. What may result if administration of rt-PA is too fast or too slow?
4. What system alterations should the nurse anticipate in the client with an ischemic stroke?
5. What are some potential and actual complications of this client's current condition?
6. Based on the assessment findings (please list), what nursing interventions are a priority for this client and why? (Provide rationale for interventions).
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