Place the nursing actions in order for a client arriving 35 … | MyMerci
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Establishing Priorities

Place the nursing actions in order for a client arriving 35 minutes after sudden aphasia and right-sided weakness.

Ordered Response

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Assist with eligibility and contraindication review and prepare the selected thrombolytic or thrombectomy pathway as ordered
Activate the stroke alert and notify the imaging and stroke teams without waiting to see whether deficits resolve
Prepare for urgent noncontrast brain imaging and prescribed vascular imaging without delaying reperfusion evaluation
While the team mobilizes, establish the exact last-known-well time and obtain anticoagulant, bleeding, surgery, and baseline-function history
Perform rapid airway, breathing, circulation, neurologic, vital-sign, oxygenation, and point-of-care glucose assessment
Explanation
Stabilize and rapidly exclude a glucose mimic, then activate the stroke system immediately. Determine last-known-well and bleeding or anticoagulant risks while the team mobilizes. Obtain urgent imaging to distinguish hemorrhage and define vascular targets. The stroke team then selects the appropriate reperfusion pathway; nursing preparation should not introduce avoidable delay.
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