Neuro Nursing Quick Decisions ✅

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Clinical stroke care scenarios

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RNPRPEPBESTIE

United States

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Neuro Nursing Quick Decisions ✅


Froggy Jumps Neuro Nursing Quick Decisions ✅Online version Clinical stroke care scenarios by RNPRPEPBESTIE 1 A client arrives to the ED with slurred speech, right arm weakness, and facial droop that began 1 hour ago. CT imaging is pending. The provider enters several orders simultaneously. Which action should the nurse take FIRST? a Complete a full admission history and medication reconciliation b Administer PRN antihypertensive medication for BP 172/94 c Initiate the facility stroke protocol and prepare the patient for immediate imaging 2 A client with suspected ischemic stroke has an order for aspirin 325 mg PO now. The nurse notes that neuro imaging has not yet been completed. What is the nurse’s BEST action? a Delay the medication until the client passes a bedside swallow evaluation b Administer the aspirin to reduce platelet aggregation c Hold the medication and clarify the order with the provider before administration 3 A client with increased intracranial pressure following a traumatic brain injury becomes restless and repeatedly attempts to lie flat in bed. Which nursing action is the highest priority? a Elevate the head of the bed and maintain neutral head alignment b Administer prescribed analgesics to reduce agitation c Apply soft wrist restraints to prevent sudden movement 4 A provider writes an order for frequent deep suctioning for a client with elevated ICP who has copious oral secretions. What should the nurse do FIRST? a Question the order and limit suctioning due to the risk of increased ICP b Perform deep suctioning every hour as ordered c Request a PRN sedative to suppress the gag reflex 5 A client with a recent ischemic stroke is preparing for discharge. Which teaching statement by the nurse is MOST appropriate to reduce aspiration risk? a Sit upright during meals and take small bites, allowing extra time to swallow b Drink fluids quickly to help clear the airway c Eat meals while reclining slightly to conserve energy 6 A client with a known seizure disorder is admitted to the unit for observation. Which nursing action best demonstrates seizure safety? a Keep all four side rails raised at all times b Assign the client to a private room with minimal stimulation c Pad the side rails and ensure suction equipment is available at the bedside 7 During rounds, a provider orders hypotonic IV fluids for a client with cerebral edema. The nurse reviews recent imaging and neurological findings. What is the nurse’s BEST response? a Decrease the infusion rate and reassess neurological status b Start the fluids as prescribed and monitor intake and output c Question the order due to the risk of worsening cerebral swelling 8 A client admitted for stroke reports a worsening headache and nausea. The nurse notes new unequal pupils and a declining level of consciousness. What is the priority nursing action? a Reassess vital signs and document neurological changes b Administer the prescribed antiemetic medication c Notify the provider immediately and prepare for rapid intervention 9 A client with a seizure disorder asks why medication timing is emphasized so strongly. Which response by the nurse is most appropriate? a Keeping blood levels steady helps prevent sudden seizure activity b The medication is less effective if taken at different times c Missed doses mostly increase side effects rather than seizure risk

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Neuro Nursing Quick Decisions ✅

Froggy Jumps

About this activity

Created by

Download the paper version to play

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Neuro Nursing Quick Decisions ✅Online version

by RNPRPEPBESTIE

A client arrives to the ED with slurred speech, right arm weakness, and facial droop that began 1 hour ago. CT imaging is pending. The provider enters several orders simultaneously. Which action should the nurse take FIRST?

A client with suspected ischemic stroke has an order for aspirin 325 mg PO now. The nurse notes that neuro imaging has not yet been completed. What is the nurse’s BEST action?

A client with increased intracranial pressure following a traumatic brain injury becomes restless and repeatedly attempts to lie flat in bed. Which nursing action is the highest priority?

A provider writes an order for frequent deep suctioning for a client with elevated ICP who has copious oral secretions. What should the nurse do FIRST?

A client with a recent ischemic stroke is preparing for discharge. Which teaching statement by the nurse is MOST appropriate to reduce aspiration risk?

A client with a known seizure disorder is admitted to the unit for observation. Which nursing action best demonstrates seizure safety?

During rounds, a provider orders hypotonic IV fluids for a client with cerebral edema. The nurse reviews recent imaging and neurological findings. What is the nurse’s BEST response?

A client admitted for stroke reports a worsening headache and nausea. The nurse notes new unequal pupils and a declining level of consciousness. What is the priority nursing action?

A client with a seizure disorder asks why medication timing is emphasized so strongly. Which response by the nurse is most appropriate?