[Answered]: As the PN, you observe the RN perform a neurological…

As the PN, you observe the RN perform a neurological assessment including NIHSS. Betty is drowsy, but easily arousable. She states the correct month and she is 50 years old. She is able to open and close her eyes. She squeezes the RNs fingers upon command. Betty is able to follow the RNs finger in all visual fields. She is able to state which visual field the RN is holding their finger and how many the RN is holding up. Upon smiling there is some asymmetry with right sided facial droop, but is able to raise eyebrows symmetrically and close eyes shut. She raises each extremity at time to hold in the air. RUE: not able to hold up for 10 seconds and begins to drift down to the bed. LUE: no drift noted and holds up for full 10 seconds. RLE: begins to fall by the end of 5 seconds but does not hit the bed. LLE: No drift noted. Betty performs the finger-nose-finger test without difficulty as well as the heel-shin test. No noted sensory loss with the pinprick test. Speech is slurred at times, but is able to respond appropriately. The RN is able to understand what Betty says. Betty is able to make a distinction between her right versus left side of body as well as to what parts of the body encounter tactile stimuli. 1. As Bettys ICU nurse, the RN is trained and qualified to complete NIHSS. The PN may assist and anticipate what interventions the results may warrant. Why is it important to continue NIHSS assessments on Betty? 2. The physician ordered the following orders: ECHO, aPTT/ INR, Carotid Ultrasound, MRI in am, Speech therapy, Sequential Compression Devices (SCDs) to BLE, and PT/OT. Why were these ordered and what is the rationale? Be specific. 3. Two days later, the physician writes discharge orders for Betty. What sort of discharge teaching would you provide Betty and her family in regard to Strokes, S/S to be aware of, risk factors, prevention, etc? Provide rationale. Would you provide patient teaching and education differently for someone who has GAD? What sort of resources are available in the community?