L.P. is a 62-year-old woman with a history of hypertension and hyperlipidemia who presented to a primary stroke center with sudden onset weakness of the right side. On assessment, she had aphasia, left gaze preference, right hemianopsia, right facial droop, dysarthria, and right hemiplegia (Stroke Scale = 22). Head CT angiography showed a left middle cerebral artery occlusion. She was given Alteplase intravenous tPA at 2 hours from symptom onset and transferred to a comprehensive stroke center. She also underwent mechanical thrombectomy. Three months later she had no neurological deficits.
Please complete the following case study analysis utilizing the following:
The Nursing Process:
A – Assessment
D – Diagnosis (Use NANDA nursing diagnoses)
P – Plan (Outcome with a specific short and long term goal)
I – Implementation
E – Evaluation
Additional Information to include if applicable: Medication (class, mechanism of action, dosage [standard if not provided], indication, side effects, contraindications)
See note attachment.
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