BS Nursing Critical Care Nursing
nmdcat.online June 6, 2026

85. A patient with a new onset stroke is admitted to the ICU. The nurse observes unilateral weakness and facial droop. What is the immediate nursing action?

A. Administer aspirin immediately
B. Perform rapid neurological assessment (NIHSS), determine last known well time, and prepare for CT scan of the brain
C. Administer oral fluids
D. Elevate head of bed to 90 degrees

📖 Additional Information

  • Administer aspirin immediately
  • Perform rapid neurological assessment (NIHSS), determine last known well time, and prepare for CT scan of the brain
  • Administer oral fluids
  • Elevate head of bed to 90 degrees

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