A nurse in a long-term care facility is caring for an older adult client who has a history of hypertension. Which of the following findings should the nurse recognize is indicative of transient ischemic attacks?
Explanation & Rationale
A. Pain radiating down the left arm: Pain radiating to the left arm is more commonly associated with myocardial infarction (heart attack), not a transient ischemic attack (TIA). It indicates cardiac ischemia rather than a temporary disruption in cerebral blood flow. B. Seizure activity: Seizures are not characteristic of transient ischemic attacks. While seizures can occur after significant brain injury such as a stroke, TIAs typically present with focal neurological deficits that resolve quickly without leading to seizure activity. C. Sudden loss of vision in one eye: A sudden, temporary loss of vision in one eye (amaurosis fugax) is a classic sign of a TIA. It reflects temporary ischemia in the retinal or cerebral blood vessels and warrants immediate medical evaluation to prevent a full-blown stroke. D. Epigastric pain: Epigastric pain is usually related to gastrointestinal issues such as gastritis, ulcers, or gallbladder disease. It is not indicative of a transient ischemic attack and would not typically be prioritized in assessing for neurological compromise.