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NCLEX Question of the Day
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A client is admitted with a suspected stroke. Which of the following assessments should the nurse prioritize?
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Correct answer Neurological status
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Skin integrity
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Bowel sounds
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Peripheral pulses
Rationale
In a client with a suspected stroke, the neurological status is the top priority assessment. This includes evaluating the client's level of consciousness, orientation, speech, motor strength, and cranial nerve function. Any changes could indicate the location and severity of the stroke.
While skin integrity, bowel sounds, and peripheral pulses are important assessments, they are not as critical in the acute phase of a suspected stroke. The focus should be on the neurological exam and supporting vital functions.
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