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Mrs. Saunders is a 70-year-old retired secretary admitted to your unit from the emergency department with a diagnosis of stroke (cerebrovascular accident, or CVA). She has a history of hypertension and atherosclerosis, and she had a carotid endarterectomy 6 years ago. She is 40% over her ideal body weight and has a 20-pack-year smoking history. Her daughter says her mother has been having short episodes of confusion and memory loss for the past few weeks. This morning she found her mother slumped to the right in her recliner, unable to speak.
Identify a nursing diagnosis related to Mrs. Saunders’s right-sided paralysis. List three interventions to prevent complications.
How will you protect Mrs. Saunders’s skin? List at least three interventions.
As you enter Mrs. Saunders’s room on her third day on your unit, you find her agitated, trying to speak, and trying to get out of bed. List at least three ways to try to find out what she wants.
What should you do before feeding Mrs. Saunders for the first time?
5. Mrs. Saunders has some difficulty swallowing and pockets her food in her right cheek. List three interventions you can try.
6. Mrs. Saunders begins to move her right hand slightly and is able to say her daughter’s name when she enters the room. She is prepared for discharge to a rehabilitation facility. List three ways you can prepare her family for her move and her eventual discharge home.

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