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NIH Stroke Scale Assessment Scenario: Mr. Thomas Grant age 64 Diagnosis: Left temporal intracerebral

NIH Stroke Scale Assessment Scenario: Mr. Thomas Grant age 64 Diagnosis: Left temporal intracerebral hemorrhage Scenario, nursing assessment Mr. Thomas Grant using the NIH Stroke Scale What’s going on with my patient? Patient Case Summary (based on report) ________________________________________ Part 1: Recognizing & Analyzing Cues 1. List 4 key clinical cues from the report that indicate a hemorrhagic stroke: o ________________________________________ o ________________________________________ o ________________________________________ o ________________________________________ 2. What diagnostic confirmed the stroke type? What did it show? ________________________________________ 3. What is the current blood pressure goal for this patient? Why is this important? ________________________________________ ________________________________________ Part 2: Prioritizing Hypotheses 4. List two priority nursing problems based on this patient’s condition, why did you select them?: o ________________________________________ o ________________________________________ 5. What are the risks if blood pressure is not controlled in this patient? ________________________________________ ________________________________________ Part 3: Planning & Intervening 6. What are 3 nursing interventions in place for this patient and why are you doing them? o ________________________________________ o ________________________________________ o ________________________________________ 7. What precautions are being used to reduce increased intracranial pressure (ICP)? ________________________________________ 8. List 2 medications the nurse is using to manage blood pressure in this patient, what are your nursing considerations related to these

 
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