The client is a 63-year-old female who arrived via emergency…
Questions
The client is а 63-yeаr-оld femаle whо arrived via emergency services with right-sided weakness, right facial drоop, and slurred speech. History and Physical History: Diabetes mellitus type II, hypertension, and rheumatoid arthritis. Spouse is answering questions for her at the bedside. Per spouse, the client has experienced recent increased stress and does not monitor her blood pressure. The client was in her usual health the night prior. She woke up around 0500 and having a typical morning until approximately 0630 when she noticed that she wasn’t able to hold her brush with her right hand. Spouse states he noticed that her face was also drooping at that time and called 911. Nurses Note: 07/05/20XX 0712: Client arrived and stroke alert initiated. Client is alert and oriented x 3 with slurred speech and aphasia. Client unable to lift or maintain gravity in right arm and right leg. Drooping to the right side of the face noted. Healthcare provider at bedside. Nurses Note 7/5/20XX 0745: The client is able to speak a few words and states that she has a history of atrial fibrillation and her gallbladder removed 4 months ago. The client begins to moan, hold her head, and complains of extreme pain in the back of her head. The lab has called with the stat laboratory results: Lab Result Reference Range White blood cell 6.4 4.5-11 per microliter Hemoglobin 13.3 12-16 g/dL Hematocrit 39 38-46% Platelet 180,000 150,000-45000/microliter PT 11 11-13.5 seconds INR 1.1 0.8-1.2 Vitals 07/05/20XX 0712: Temp: 98.6*F Pulse: 99 Respirations: 22 Blood Pressure: 180/118 O2 Saturation: 98% on Room Air After reviewing the client's most recent assessment and labs, which of the following findings would need to be reported to the healthcare provider prior to administering thrombolytics? Select all that apply.