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Mrs. loretta rusk, a 75-year-old client, is discharged from the hospital after suffering a cerebral vascular accident (cva, often referred to as a stroke. mrs. rusk lives with her elderly husband who is in good health. the primary healthcare provider has prescribed home health skilled nursing visits and home health aide visits 3 times per week. the home health nurse makes the first home visit to assess mrs. rusk and establish the plan of care.

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MissPhiladelphia
Since you only introduced a situation, here is something about developing the plan of care of Mrs. Loretta Rusk.

To develop the nursing plan of care, aspiration must be considered.  In Mrs. Rusk's situation,  the highest priority is the entry of foreign substances such as food or fluids into the lungs. This may cause respiratory distress, which is termed as hypoxia. Therefore, this is the highest priority in establishing the client's plan of care.