Solve

NUR2755 Section ONPB1A0S Multidimensional Care IV (11 Weeks) - Fully on Campus - 2025 Summer Quarter | Module 03 NGN Graded Simulation: The Case of Jacob Reed Scenario Mr. Jacob Reed, a 72-year-old retired grandfather of four, was brought to the emergency department by his wife after she noticed he suddenly couldn't move | his night arm and was struggling to get words out. Earlier that morning, he had | been joking with his grandchildren over breakfast. Now, just a few hours ater, | he was unable to speak clearly and had difficulty following commands. His wife \" noted that the symptoms started about three and a half hours before they re] arrived at the hospital. In the ED, the stroke team moved quickly. Anon-contrast head CT ruled out bleeding, and based on the timeline and symptoms, he was given alteplase. With the clot-busting medication administered, Jacob was transferred to the stroke unit for close monitoring. His history of atrial fibrillation, managed with ; warfarin, was taken into consideration throughout. Four hours after arriving on the unit, the nurse noticed subtle but concerning changes. Jacob, who had been sleepy but arousable earlier, was now more difficult to wake. When she performed a pupil check, his right pupil was larger than the left and sluggish to react. Concerned, she ordered a stat ABG to check for any changes in his respiratory status. The results were worrisome: his pH was 7.28, indicating acidemia, and his PaCO; had risen to 58 mm Hg, suggesting hypoventilation. His oxygen level (PaO) was 72 mm Hg, with an O, saturation of 91% while receiving 2 Iters of oxygen via = nasal cannula. These findings, combined with his neurological decline, pointed ar ; to rising intracranial pressure and the possibility of brain pat on. r Sea tt a ane | The nurse immediately notified the provider, knowing that time was critical to Jacob's survival and neurologic outcome