A 70-year-old female presents to the emergency department triage with a noticeable facial droop and garbled speech. After having a few drinks at a local seafood restaurant, the client’s husband noticed his wife’s speech became difficult to understand. The triage nurse does a rapid assessment of the client.
Flow sheet: 1915 Arrival at emergency department 1920 Vital Signs:
- Temperature: 98.2° F (36.8° C)
- Heart rate: 92 beats/minute
- Respirations: 24 breaths/minute
- Blood pressure: 210/98 mmHg
- Oxygen saturation: 95% on room air Nurses' Notes
A. A 70-year-old female presents to the emergency department triage with a noticeable facial droop and garbled speech.
B. A 70-year-old female presents to the emergency department triage with a noticeable facial droop and garbled speech.
C. A 70-year-old female presents to the emergency department triage with a noticeable facial droop and garbled speech.
D. After having a few drinks at a local seafood restaurant, the client’s husband noticed his wife’s speech became difficult to understand.
E. 1915: Client arrives via personal car to emergency department with facial drooping and garbled speech.