A patient with a suspected acute stroke suddenly develops facial drooping, slurred speech and weakness of the right arm. What is the priority nursing action?
Correct answer: C. Activate the stroke response and note symptom onset
- A. Give oral fluids to prevent dehydration
- B. Place the patient flat and leave to rest
- C. Activate the stroke response and note symptom onset
- D. Administer a sedative to reduce muscle activity
Explanation
Rapid stroke assessment is essential because some treatments are time dependent. The exact time that symptoms began helps determine eligibility for urgent therapy, while oral fluids may increase aspiration risk.
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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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