Reference no: EM133507609

Christopher is a 56-year-old male who is admitted to your unit from ER. Christopher was found lying on the kitchen floor, unresponsive. His wife, a nurse, immediately started CPR and regained a pulse and spontaneous respirations prior to the ambulance arriving. According to his wife, Christopher is a practicing defense lawyer who is currently trying a case for a capital offense. He does suffer from headaches frequently, primary hypertension and has been complaining recently that he may need his glasses changed as his vision is blurry. He recently fell walking into the courthouse when he tripped over a curb.

The nurse notes his admitting VS: Temp 99 F, Pulse 92, Resp 18. Pain level 3(aching). The nurse notes that he is slow to respond, but responds appropriately, although some of his words appeared to be slurred. He appears to be drooling from the right side of his mouth and his right arm and leg are weak. He is unable to sign his name to the admission paperwork and unable to transfer from the cart to the bed without assistance. He is extremely agitated at being admitted to the hospital since he has a major case to defend at work.

1. What focused assessments would you perform on Christopher? What cues are you looking for and why? (Utilize at least one scholarly reference for rationale.)

2. What problems would you deduce? What do you believe is happening to Christopher? How severe are the problems? (Prioritize according to labels on page 5 of the text.)

3. Utilizing NANDA diagnostic labels, identify 3 nursing diagnoses.

4. Based on the data, develop 3 goals. (Goals must be SMART.)

5. What recommendations do you have? What are some probable interventions you would recommend based upon the assessment data and goals? Define the assessment data and evidence-based prior knowledge upon which you are basing your recommendations.