Situation: It is early morning and the client, an 80-year-old woman, is getting out of bed. She has a mild headache over the right temple, is fatigued, and feels slightly weak. She calls for her husband to let him know she will be going back to bed for a while. When her husband comes in to check on her, he finds that she is having trouble saying words and has a slight left-sided facial droop. When he helps her up from the bedside, he notices weakness in her left hand and convinces her to go to the local emergency room.
Her first CT scan was negative for cerebrovascular accident; however, the second CT scan (18 hours later) reveals a small CVA in the right hemisphere. She is still experiencing expressive