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    HESI RN Exit 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 (HCP), the nurse receives several prescriptions for the client, including a STAT computerized tomography (CT) scan of the head. Which intervention should the nurse perform in the immediate management of the client?

    Explanation & Rationale

    A. Obtaining a history of recent bleeding and anticoagulant use is essential but should not delay immediate stabilization. B. Elevating the head of the bed to 30 degrees helps reduce intracranial pressure and promotes cerebral perfusion, which is a priority in stroke management. C. Sequential compression devices (SCDs) are useful for preventing deep vein thrombosis (DVT) but are not an immediate intervention. D. Elevating dependent joints on the affected side does not have immediate benefits for stroke management.

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