Problem
N.T., a 79-year-old woman, arrived at the emergency room with expressive aphasia, left facial droop, left- sided hemiparesis, and what is presumed to be symptoms of mild dysphagia. Her husband states that when she awoke that morning at 0600, she complained of a mild headache over the right temple, was fatigued, and felt slightly weak. Thinking that it was unusual for her to have those complaints, he went to check on her and found that she was having trouble saying words and had a slight left-sided facial droop. When he helped her up from the bedside, he noticed weakness in her left hand and convinced her to come to the emergency department. Her past medical history includes paroxysmal atrial fibrilla- tion, hypertension (HTN), hyperlipidemia, and a remote history of deep vein thrombosis. A recent cardiac stress test was normal, and her blood pressure has been well controlled. N.T. is currently taking amlodipine (Norvasc), aspirin, simvastatin (Zocor), and lisinopril (Zestril). After a noncontrast CT scan, she is diagnosed with a thrombolytic stroke.
Task
i. Identify 1 priority problem and write a related Nursing Diagnosis (proper format). What is reason/rationale for your choice.
ii. Based on the identified nursing diagnosis, identify a outcome goal with 2 appropriate nursing interventions. Briefly state the reason/rationale for your interventions with supporting evidence.