Your patient has been admitted for a stroke. He was not a candidate for tPA. His vitals and neurological exams have been stable. He has a follow-up CT scan of his head ordered for tomorrow, orders to see PT/OT, and for sequential compression devices to be placed. He has requested a glass of water. What is your priority right now?

 

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Correct

- Completing a swallow evaluation prior to oral intake

- Obtaining a blood pressure

- Calling PT/OT to see what time they will be seeing the patient

- Getting the patient water

Rationale

All stroke patients must have a swallow exam prior to oral intake to rule out any swallowing complications. Nothing in the stem of the question would cause you to believe this patient needs a blood pressure taken at this time, nor immediately call therapy services. While those should happen, they are not something that requires immediate attention. You cannot get the patient water until the swallow screen has been completed and the patient has passed the exam.

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Question Information

Nursing Category

Neuro

Question Difficulty
Total - 229
Correct - 196
Percent Right - 85.5895196507
User Feedback
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Question ID - 368975

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