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What is the priority nursing intervention for a patient with a suspected stroke?
Asked on Feb 08, 2026
Answer
In the case of a suspected stroke, the priority nursing intervention is to ensure rapid assessment and activation of emergency response systems to facilitate timely medical evaluation and treatment. This involves using the FAST acronym (Face, Arms, Speech, Time) to quickly assess stroke signs and symptoms.
Example Nursing Steps:
- Step 1 – Assess the patient using the FAST acronym: check for facial droop, arm weakness, and speech difficulties.
- Step 2 – Immediately activate the emergency response system (e.g., call 911 or hospital stroke team) to ensure rapid medical intervention.
- Step 3 – Monitor vital signs, maintain airway patency, and prepare for potential transfer to a higher level of care, documenting all findings and actions taken.
Additional Comment:
- Ensure the patient is positioned safely, with the head elevated to reduce intracranial pressure.
- Maintain a calm environment to reduce anxiety and prevent further complications.
- Time is critical in stroke management; early intervention can significantly improve outcomes.
- Use the ABCs (Airway, Breathing, Circulation) to guide initial assessment and intervention.
- Document all assessments, interventions, and communications promptly and accurately.
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