NursingPlex
    Sign In
    Hesi Rn compass exit B proctored exam
    Select All That Apply

    Patient Data Exhibits The triage nurse does a rapid assessment of the client. Click to highlight the data that indicates the client is in need of immediate health interventions. A 70-year-old female presents to the emergency department (ED) through triage with a noticeable facial droop and garbled speech. After having a few drinks at a local seafood restaurant, the client's husband noticed his wife's speech became difficult to understand.

    Explanation & Rationale

    Rationale for correct Choices: Noticeable facial droop: Facial drooping is a hallmark sign of a stroke. Early recognition is critical because prompt intervention, such as thrombolytic therapy, must occur within a narrow time window to prevent long-term neurological damage. Garbled speech: Slurred or incomprehensible speech (dysarthria or aphasia) is another acute stroke symptom. It indicates potential involvement of the brain's language centers and requires immediate neuroimaging and evaluation. Speech became difficult to understand: A sudden change in speech pattern strongly suggests an evolving neurologic event such as a transient ischemic attack (TIA) or stroke. Timely identification of symptom onset is essential for determining eligibility for time-sensitive stroke treatments like alteplase. Rationale for Incorrect Choices: Few drinks at a local seafood restaurant: While alcohol can cause slurred speech and sea food can result in allergic reaction, the patient reports with symptoms suggestive of a stroke, therefore this is not part of the immediate concerns.

    🔒 Submit your answer to reveal
    📋 View Case Study