Hello there! Want a discount? Grab 5% OFFon your first order!
originalresearchpapers.com logo
Hello there! Want a discount? Grab 5% OFF on your first order!
originalresearchpapers.com logo

HSC 1531 FSCJ The Man With The Weak Arm Case Study Nursing Assignment Help

Instructions

Below is a case study presentation of a patient with a condition discussed in this chapter. Read the case study and answer the questions for Case Study 4: The Man with the Weak Arm. Some questions will ask for information not included within this chapter. Use your text, a medical dictionary, or any other reference material you choose to answer these questions.

Case Study Scenario

Albert, a 72-year-old African-American man, is brought into the emergency room by his daughter. Approximately 45 minutes before arriving, Albert dropped his book when his right arm and hand “fell asleep.” When he tried to rise, he noticed his right leg was weak, and he needed to hold onto the couch to stand up. In addition, he had difficulty talking because the right side of his face and mouth were “numb,” and his tongue felt “thick.”

In obtaining a medical and family history, it was noted that Albert had smoked at least one pack of cigarettes per day for the last 40 years, and both of his parents died of strokes when they were in their mid-sixties. He has previously been diagnosed with both essential hypertension and hypercholesterolemia. He admits to “skipping” his antihypertensive medication because of the unpleasant side effects it causes. Albert notes that he has been experiencing short (5 – 10 minutes) incidences of weakness on his right side, but he attributed this to his position, causing his arm or leg to “fall asleep.” He has also noticed that he has mild headaches, but recently, these have been less frequent.

Physical examination indicated that Albert was alert and anxious, but his speech was slurred. He was afebrile, had a respiratory rate of 16 breaths per minute, a regular heart rate of 86 beats per minute, and a 190/120 mm Hg blood pressure. Albert had no irregular heart sounds and presented with slight bilateral edema of the ankles. Examination of the nervous system indicated intact tactile sensory function, decreased strength of the right extremities, a diminished gag reflex, diminished right deep tendon reflexes, and right facial droop.

Based on these symptoms, the emergency room physician suspected a thrombolytic stroke and immediately ordered a head CT scan and various blood tests. The physician also discussed the relative benefits and risks of various treatments and courses of action with Albert and his daughter. As a result, Albert was given aspirin for possible thrombosis and a beta-blocking antihypertensive, and his condition was closely monitored while awaiting the test results.

Results of the laboratory tests indicated hyperglycemia and hypercholesterolemia. Normal blood clotting times and platelet numbers were indicated. In addition, the head CT was normal. However, despite the treatments initiated, Albert’s condition continued to deteriorate. While his blood pressure decreased to 170/84 mm Hg, his heart rate was elevated to 100 beats per minute and became irregular. In addition, he continued to demonstrate decreased sensation on his right side, slight dysarthria, and further decreases in strength in both right extremities. Based on these results, treatment with a plasminogen activator was initiated, and an electrocardiogram (ECG) was conducted. The results of the ECG indicated atrial flutter.

After 5 hours, Albert’s condition improved to the point that the hemiparesis and dysarthria were at baseline levels, and his blood pressure was stabilized at 156/70 mm Hg. Further treatments were then initiated to stabilize Albert’s atrial flutter and hypertension. He was given digoxin, which stabilized the atrial flutter and heart rate at 80 beats per minute, and an angiotensin-converting enzyme (ACE) inhibitor was prescribed for hypertension. An echocardiogram indicated bilateral stenosis of the carotid arteries. Antithrombotic therapy (325 mg aspirin/day) was also prescribed. Albert was encouraged to stop smoking and to modify his diet and was discharged.

The Man with the Weak Arm Case Study Questions

  1. Define the following terms. essential hypertension, hypercholesterolemia, afebrile, stroke, thrombosis, dysarthria, hemiparesis, stenosis
  2. What symptoms suggested that Albert was suffering a stroke?
  3. What risk factors did Albert present with which would support the symptoms observed?
  4. Why would Albert’s symptoms be localized only to the right side of his body?
  5. How can the type and location of symptoms be used to diagnose the location of a stroke or brain injury?
  6. Why would stenosis of the carotid arteries have an effect on blood flow to the brain?
  7. Why is aspirin prescribed as a treatment for Albert’s condition?

Share This Post

Email
WhatsApp
Facebook
Twitter
LinkedIn
Pinterest
Reddit

Order a Similar Paper and get 15% Discount on your First Order

Related Questions

ANXIETY, OBSESSIVE-COMPULSIVE AND RELATED, AND TRAUMA AND Nursing Assignment Help

ANXIETY, OBSESSIVE-COMPULSIVE AND RELATED, AND TRAUMA AND STRESSOR-RELATED DISORDER Anxiety disorders provide a good opportunity to take a close look at the nature/nurture debate as well as the gene/environment interactions that influence the nervous system and neurochemistry. A significant part of most of Sigmund Freud’s theories, the concept of anxiety

Research Topic: CAUTI While the implementation plan Nursing Assignment Help

Research Topic: CAUTI  While the implementation plan prepares students to apply their research to the problem or issue, they have identified for their capstone project change proposal, the literature review enables students to map out and move into the active planning and development stages of the project.  A literature review

Project topic -CAUTI Planning is the key to successful Nursing Assignment Help

Project topic -CAUTI  Planning is the key to successful completion of this course and program-related objectives. The Individual Success Plan (ISP) assignment requires early collaboration with the course faculty and your course preceptor. Students must establish a plan for successful completion of The required 50 community direct clinical practice experience

discussion question atleast 250 words 2 references Nursing Assignment Help

discussion question  atleast 250 words  2 references  Reflect on the oral dissemination experience and discuss the experience with your peers. What did you learn? What can you apply from this experience to presenting as a DNP-prepared nurse in other professional forums? What advice do you have for others preparing to

Directions: Present the peer-reviewed journal or specialty Nursing Assignment Help

Directions: Present the peer-reviewed journal or specialty organization to which will submit your completed DPI Project. The peer-reviewed journal or specialty organization must be appropriate for your DPI Project. Complete the following steps: Step 1: Follow the guidelines from the peer-reviewed journal or specialty organization you selected and submit the abstract

Literature Evaluation Student Name Nursing Assignment Help

Literature Evaluation    Student Name  Institution Instructors Name  Due Date Literature Evaluation      Measurable Outcomes  1.     80% of patients will report an increased understanding of their diagnosis and treatment plan as measured by a post-education survey. Targeted patient education aims to improve patient knowledge and engagement in care decisions. 2.     Nurses will score an

Reflection Paper Each student will Nursing Assignment Help

                                                                        Reflection Paper                        Each student will submit a 2–3-page reflection paper. To avoid point deductions, please adhere to the following guidelines: • Title Page (does not count toward the 2-3 page limit) • Reference Page (does not count toward the 2-3 page limit) • First Person (use terms I, me,

Describe the Cultural Empowerment of the group you chose Nursing Assignment Help

Describe the Cultural Empowerment of the group you chose (diabetes in African Americans) Specifically address how each of the PEN-3 model’s three factors within the dimension of cultural empowerment applies to your group, and provide examples. Use subheadings to clearly show that you have addressed each of the three factors. Support your

Irritable bowel syndrome provided to create a pertinent Nursing Assignment Help

Irritable bowel syndrome  provided to create a pertinent comprehensive evidence-based management plan for Irritable bowel syndrome and  Include the following components:  diagnostic tests medications: write a specific prescription for each medication, including over-the-counter medications suggested consults/referrals client education follow-up, including time interval and specific symptomatology to prompt a sooner return

Describe how learning in this course helped you to meet Nursing Assignment Help

Describe how learning in this course helped you to meet Program Outcome 5: Advocates for positive health outcomes through compassionate, evidence-based, collaborative advanced nursing practice (Extraordinary Nursing). Provide at least two specific examples. Select one of the competencies from American Association of Colleges of Nursing (AACN) Essentials Domain 6 listed below and describe how learning in

You deserve a bonus!

Subscribe and get regular bonuses and discounts.