Question

Mr. Ali, the 56-year-old man admitted with a stroke, has many abnormal findings.

He has a history of hypertension, smoking, and mild baseline dementia. He appears fearful and agitated, asking for cigarettes, oriented to name only. His speech is comprehensible but slurred.

Mr Ali is drowsy with periods of confusions impaired short-term memory—remembers zero of three objects after 1 minute. He appears to have left visual field loss. He has right lower facial weakness left tongue deviation. His muscle bulk is symmetrical, tone slightly increased on left arm/leg. He has diminished attention to objects and people on the right side of bed.

B- What problems related to mr ali’s safety should the nurse consider?

Answer 1

#. Considerations for Mr. Ali by the nurse :-

- Since his right side had the weakness , don't keep any things left side of him .

- Keep the things infront him

- Orient him through calendar ,clock , images , pictures and family members from front

- Facility of proper light and air

- Avoid bright light to avoid strain

- Keeping the floor dry to avoid fall

- Raising the side rails of the bed to avoid fall

- Using the washrooms and toilet which have side rails to hold

- Never leave the patient alone

- Transferring the patient from right side