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What is the priority assessment for a patient with a suspected stroke?
Asked on Feb 07, 2026
Answer
In a patient with a suspected stroke, the priority assessment is to perform a rapid neurological evaluation to determine the extent and location of the neurological deficit. This includes assessing the patient's level of consciousness, speech, facial symmetry, and limb strength, often using tools like the NIH Stroke Scale.
Example Nursing Steps:
- Step 1 – Assess the patient's level of consciousness and orientation to time, place, and person.
- Step 2 – Evaluate speech clarity, facial droop, and limb weakness using the NIH Stroke Scale.
- Step 3 – Document findings promptly and communicate with the healthcare team for immediate intervention.
Additional Comment:
- Time is critical in stroke management; early recognition and intervention can significantly improve outcomes.
- Use the "FAST" acronym (Face, Arms, Speech, Time) to quickly identify stroke symptoms.
- Ensure that vital signs are monitored, especially blood pressure, as hypertension is common in acute stroke.
- Initiate stroke protocols and prepare for potential imaging studies like a CT scan to confirm diagnosis.
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