HESI RN Exit VI Proctored Exam
The nurse is caring for a client who reports sudden right-sided numbness and weakness of the arm and leg. The nurse also observes a distinct right-sided facial droop. After reporting the findings to the healthcare provider, the nurse receives several prescriptions for the client, including a STAT computerized tomography scan of the head. Which intervention should the nurse should perform in the immediate management of the client?
Explanation & Rationale
A. Initiating sequential pneumatic compression devices is not immediately relevant to managing acute stroke symptoms.B. Raising the head of the bed to 30 degrees and keeping the head and neck in neutral alignment helps reduce intracranial pressure and facilitates venous drainage, which is crucial in managing potential stroke patients.C. Elevating the dependent joints on the affected side is not immediately necessary and does not address the acute neurological symptoms.D. While obtaining a focused history is important, it should follow after initial stabilization measures such as positioning and securing immediate diagnostic tests.
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