A patient arrives with sudden unilateral weakness and difficulty speaking. Which investigation is generally needed before treatment with an antiplatelet drug is started?
Correct answer: A. Urgent non-contrast CT scan of the head
- A. Urgent non-contrast CT scan of the head
- B. Routine electroencephalogram after breakfast
- C. Lumbar puncture before neurological assessment
- D. Cervical spine radiograph before blood testing
Explanation
An urgent non-contrast CT scan helps distinguish an ischaemic stroke from intracranial haemorrhage before antiplatelet treatment is given. Antiplatelet drugs may worsen bleeding, so treatment should not be started without appropriate brain imaging.
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About Neurological Nursing
Covers nursing assessment and management of stroke, epilepsy, meningitis, raised intracranial pressure, head injury, spinal cord disorders, Parkinson disease and multiple sclerosis. Key areas include level of consciousness, pupil responses, motor and sensory findings, seizure precautions and distinguishing upper motor neuron from lower motor neuron signs.
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