Navrinder is a 50-year-old lawyer who work 50 to 60 hours per week. While eating breakfast Navrinder experienced sudden onset slurring of speech, had facial droop on his left-hand side with weakness...

Navrinder is a 50-year-old lawyer who work 50 to 60 hours per week. While eating breakfast Navrinder experienced sudden onset slurring of speech, had facial droop on his left-hand side with weakness in left side upper and lower limbs. Navrinder's wife, Hargeet spotted these sudden onsets of symptoms and immediately called for an ambulance, which arrived within 15 mins. Navrinder was brought to the Emergency Department (ED).




Medical history:

Hypertension- diagnosed 5 years ago

Prediabetes- diagnosed 3 years ago




Medication history:

Telmisartan 40mg once a day



Vital signs: Blood Pressure 145/90 mmHg, Heart Rate 92 bpm, Respiration Rate 20 bpm, SaO2 94% on Room Air




Physical examination:

— Confusion

— Left Facial Droop

— Slurred Speech
 — Left Motor Weakness: Upper Limb 0/5, Lower Limb 2/5
 — Decreased Tone

— Altered Sensation

— Mild Left Sided Neglect




Acute Assessment Scale:
NIH Stroke Scale 19




Magnetic Resonance Imaging (MRI):
Ischemic changes confined predominantly to the Right Middle Cerebral Artery (MCA)



An important part of acute stroke management and decreasing stroke‐related mortality is preventing complications within the first 24–48 hours. Identify four (4) nursing interventions with rationales that prevent complications and reduce mortality in Navrinder