The advice should the nurse give the family is "The client exists unaware of his left side. You should approach him on the right side."
<h3>
What is stroke?</h3>
A stroke sometimes named a brain attack, happens when something blocks the blood supply to a region of the brain or when a blood vessel in the brain bursts. In either case, parts of the brain become injured or die. A stroke can generate lasting brain damage, long-term disability, or even death.
A stroke exists as a medical emergency. Symptoms of stroke possess trouble walking, speaking, and understanding, as well as stiffness or numbness of the face, arm, or leg. Early therapy with medications like tPA (clot buster) can minimize brain damage. Other treatments focus on limiting difficulties and preventing additional strokes.
There exist two main reasons for stroke: a blocked artery (ischemic stroke) or leaking or bursting of a blood vessel (hemorrhagic stroke). Some individuals may include only a temporary disruption of blood flow to the brain, understood as a transient ischemic attack (TIA), that doesn't generate lasting symptoms.
Hence, The advice should the nurse give the family is "The client exists unaware of his left side. You should approach him on the right side."
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The correct response of the nurse to the client would be "We'll be constantly monitoring your baby's condition. I'll let you listen to the baby's heartbeat."
<h3>What is preeclampsia?</h3>
Preeclampsia is defined as a critical pregnancy situation that is characterized by hight blood pressure which usually occurs from 20 weeks of gestation.
The signs and symptoms of Preeclampsia include the following:
- Excess protein in urine (proteinuria) or other signs of kidney problems.
- Decreased levels of platelets in blood (thrombocytopenia)
- Increased liver enzymes that indicate liver problems.
As a professional nurse and a competent nurse, it is their duty to reassure their patients which is a way to calm down any situation that may cause psychological stress.
It is the work of the Nurse to reassure her client and that anything is being done to monitor the fetus.
You can further prove this by offering to allow the client listen to the heart beat of her baby.
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Yes, it is appropriate for the nurse to recommend smoking cessation for clients with hypertension because nicotine in cigarettes causes your blood vessels to constrict and the heart to beat more rapidly, thus raising your blood pressure.
Nicotine is a extremely addictive chemical compound present in a tobacco plant. Nicotine is a stimulant, which makes tobacco products addicting. Even when people wish to stop using tobacco products, nicotine prevents them from doing so.
Because of ongoing tobacco use, the number of deaths and disabilities attributable to tobacco use is rising globally (mainly cigarettes). While tobacco use is steadily increasing in high-income countries like the USA, it has reached epidemic proportions in many low- and middle-income nations (The Tobacco Atlas 2015; CDC 2016). 68 % of adult smokers in the United States want to stop, and millions have tried to do so, according to the Centers for Disease Control (CDC 2017).
Each year, 70 % of smokers contact a healthcare provider (AHRQ 2008). Since nurses participate in the majority of these visits and constitute the biggest group of healthcare providers globally, they have the potential to have a significant impact on the decline in tobacco use.
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Answer: The next most appropriate step would be a LUMBAR PUNCTURE.
Explanation:
A LUMBAR PUNCTURE is a medical procedure that is usually carried out by a trained health personnel. It is a procedure that is carried out in the lumbar region of the spinal cord to access and obtain the cerebrospinal fluid which is used for further diagnosis of an underlying disease or illness.
A LUMBAR PUNCTURE is often adviced when the symptoms of a disease is related to the central nervous system. From the symptoms observed from the 19-year-old woman at the emergency department which includes:
--> generalized headache which is increasing in intensity,
--> blurred vision,
--> intermittent diplopia,
--> vague dizziness.
--> bilateral papilledema and
--> normal MRI of the brain.
Since the MRI of the brain is normal, the most appropriate step to be taken by the health care provider is a lumbar puncture which enables a direct access to the cerebrospinal fluid. This would help to rule out an elevated intracranial pressure which may be the cause of the generalized headache which is increasing in intensity.
