Post-Simulation Assignment (completed and submitted after the simulation; 75 points)ALL ANSWERS 100% CORRECT FALL-2021 LATEST SOLUTION AID GRADE A+

Name/age: Hal Hamilton, 81 BRIEF summary of primary problem: Patient was brought in after waking up 13 hours ago with left facial drooping and unable to move entire left side of his body. Day of admission/post-op #: 9/14/21 Background: Primary problem/diagnosis: Ischemic stroke RELEVANT past medical history: Has a history of CABG x3, HTN, type 2 diabetes and had a MI two years ago. RELEVANT background data: Smokes 1 pack of cigarettes a dayAssessment: Current vital signs: R: 22, HR: 86, BP: 185/90, T: 98.0 F, O2: 94% RA RELEVANT body system nursing assessment data: NIHSS 17, LOC- alert, but a bit drowsy, GCS response 11 orientation normal for place & time. Left facial droop. Left side unable to move except if asked to squeeze then very weak & can wiggle left toes. RELEVANT lab values: Hemoglobin: 9.5 g/dL (low), BUN- 6 mmol/L (low), Serum Glucose: 167, Creatinine: 0.8, Na: 137, K: 4.4, Hematocrit: 35%, WBC: 6.8 TREND of any abnormal clinical data (stable-increasing/decreasing): Hemoglobin: 9.5 g/dL- decreasing, BUN- 6mmol/L -decreasing (possible liver trouble or malnutrition) How have you advanced the plan of care? Administered the Ramipril and nicotine patch Patient response: worsening INTERPRETATION of current clinical status (stable/unstable/worsening): worsening Recommendation: Suggestions to advance plan of care: Order CMP, PTT, PT/INR, HgA1C, cardiac monitoring, check blood sugarAdmitting/current medical diagnosis & definition: Ischemic stroke-occurs when a vessel supplying blood to the brain is obstructed. 2. Create 2 Nursing Care Plans (Formulate “1” nursing diagnoses, 3 nursing interventions & 3 rationales): Nursing Care Plan #1