NUR 400 – FINAL Exam questions and answers
NUR 400 – FINAL Exam questions and answers Which nursing intervention takes priority when assessing the neurological health of a client who has just been admitted with a suspected stroke? A. Assessing vital signs and oxygen saturation B. Performing a comprehensive neurological assessment C. Administering tissue plasminogen activator (tPA) D. Obtaining a detailed medical history The correct answer is B. Performing a comprehensive neurological assessment. Rationale Assessing vital signs and oxygen saturation (option A) is important in the overall assessment of a client with a suspected stroke, but it is not the priority. Neurological assessment takes precedence because timely identification of neurological deficits is crucial for determining the type and severity of the stroke and guiding subsequent interventions. Administering tissue plasminogen activator (tPA) (option C) is a time-sensitive intervention for ischemic strokes, but it should only be initiated after a comprehensive neurological assessment and confirmation of eligibility criteria. Administering tPA without proper assessment may pose risks to the client. Obtaining a detailed medical history (option D) is essential in understanding the client's risk factors and medical background, but it is not the priority intervention upon admission of a client with a suspected
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