Left side of his body was flaccid

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Reference no: EM133923048

Question

Tomas Bond, the 56-year-old male, was brought to the emergency department by the paramedics after being called by his wife. His wife found him unconscious on the floor beside the bed in the morning. The left side of his body was flaccid and his face and mouth drooped on the left. In the emergency room his vital signs were:

Blood pressure (BP) 160/90 mm Hg

Heart rate (HR) 88 beats per minute

Respiratory rate (RR) 16, deep and stertorous

Temperature 37.7 degrees Celcius

Weight 225 lbs

Funduscopic examination revealed papilledema.

Tomas's wife explained that her husband owned and managed a restaurant. She said he had no previous medical problems and no known allergies. On the morning of admission, her husband was getting out of bed when he became unconscious and fell on the bedroom floor.

Discussion Tasks:

1. Identify and clearly state 1 priority concern for this patient based on the information provided. Briefly state reason/rationale with supporting evidence why nurse chose this concern.

2. Based on the above-chosen concern, develop a NANDA-approved Nursing Diagnosis.

Reference no: EM133923048

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