Final answer:
Difficulty swallowing after a stroke is a critical symptom that requires immediate notification to the provider. It poses a risk of aspiration and needs prompt attention. Elevated blood pressure should also be monitored as it indicates ongoing risk.
Step-by-step explanation:
Immediate Notification is Necessary for Difficulty swallowing
When assessing an older adult client who had a right-sided stroke two days ago, the nurse should notify the provider immediately if the client exhibits difficulty swallowing. This symptom can indicate a higher risk of aspiration, which is a medical emergency that necessitates prompt intervention. Other findings, such as mild confusion and urinary incontinence, may be expected in the post-stroke recovery phase and do not typically require immediate notification. However, elevated blood pressure should also be monitored closely as it can indicate ongoing risk to the patient's health.
A stroke is caused by a disruption of blood to the brain, often due to either a blockage (ischemic stroke) or bleeding (hemorrhagic stroke). Immediate treatment is crucial to minimize brain damage and potential disabilities. The mnemonic FAST (Face, Arms, Speech, Time) can be used to recognize stroke symptoms and ensure rapid response and treatment.
Additionally, while urinary incontinence can be related to neurological conditions such as Alzheimer's or Parkinson's disease, in the context of recent stroke, it can also be a consequence of the loss of bladder control due to brain damage. Continuous monitoring, supportive care, and rehabilitation therapies are essential for stroke recovery.