Problem
This case study is based on left-sided weakness. M.R. is a 67-year-old African American female who presents to the emergency department with left-sided weakness.
A. Subjective Data
a. PMH: HTN, hypothyroid, sickle cell anemia
b. Sudden onset of headache
c. Current smoker, 1 pack a day for 45 years
d. Having trouble speaking
e. Left-sided face droop
f. Reported pain 6/10
B. Objective Data
a. Height: 5'6"
b. Weight: 192
c. BMI: 31
d. Vital signs: T 37 C, P 72, R 18, BP 174/94
e. Lungs: clear all bases
f. O2 sat: 100%
g. CV: heart rate regular, positive peripheral pulses
C. Medications
a. Metoprolol, 12.5 mg per day
b. Synthroid, 0.50 mcg once per day
D. Cranial Nerves
a. Negative response from cranial nerves VII, IX, II-VI, and VIII, X-XII intact
E. Based on the case above, answer the following questions
a. Identify one nursing diagnosis.
b. Identify two nursing interventions related to the nursing diagnosis you selected.
c. Discuss assessment findings that led to the nursing diagnosis you selected.