Physiological AdaptationCâu 100 / 120
A client presents with slurred speech, facial droop, and right-sided weakness. What is the nurse's priority action?
a.Administer aspirin immediately
b.Encourage the client to rest and reassess in an hour
c.Give the client oral fluids
d.Activate the stroke protocol and note the time of symptom onset
Giải thích
These signs suggest an acute stroke. Rapid activation of the stroke protocol and documenting the symptom onset time are critical because treatment such as thrombolytics is time-dependent.
Luyện miễn phí toàn bộ 120 câu hỏi — không cần đăng ký.
Câu hỏi liên quan cùng chủ đề
- A nurse is caring for a client with diabetic ketoacidosis. Which arterial blood gas finding is expected?
- A client with chronic obstructive pulmonary disease has an oxygen saturation of 90%. Which oxygen delivery approach is appropriate?
- A nurse assesses a client with hypocalcemia. Which finding is expected?
- A nurse is caring for a client after a myocardial infarction. Which laboratory marker is most specific for cardiac muscle damage?
- A client has a nasogastric tube to continuous suction and develops muscle weakness. Which disturbance is most likely?
- A nurse reviews an arterial blood gas: pH 7.30, PaCO2 55 mm Hg, HCO3 24 mEq/L. How should the nurse interpret this?
Cập nhật gần nhất: · quy trình kiểm tra
Đội Ngũ Biên Tập PrepPass · Đối chiếu với NCLEX-RN (National Council Licensure Exam — Registered Nurse) · Quy trình kiểm tra