The nurse is caring for Zilla Carrera, a 72-year-old who suffered a stroke and has develop
The nurse is caring for Zilla Carrera, a 72-year-old who suffered a stroke and has developed a deep vein thrombosis (DVT) and is being treated with an anticoagulant. The client walks short distances (20 feet) with the assistance of a walker and one person. Zilla has a generalized weakness with the right leg and arm being somewhat weaker than the left side. Since suffering the stroke, Zilla has had difficulty with constipation, having hard irregular stools, and a decreased appetite but is able to swallow effectively, using a soft diet. The client demonstrates leakage of urine and is wearing a disposable brief. The client needs assistance to bathe and perform other personal hygiene. Zilla’s family has been present and supportive throughout the hospital stay and sometimes assists with personal hygiene needs. Zilla is sometimes forgetful and attempts to get up without assistance; a bed alarm has been used to assist with fall prevention as well as the family calling for help when they are present.1. Identify the relevant subjective and objective assessment information related to the client’s condition.2. Based upon assessment information, identify and prioritize the top 3 client problems. Write one client problem for each. 3. For each client problem, determine and enter the relevant assessment information that supports the identified client problem. 4. Identify important nursing interventions that should be taken to address each client’s problem. Health Science Science Nursing HEALTH ASS NR 304 Share QuestionEmailCopy link Comments (0)
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