Stroke and Neurologic Emergencies · NCLEX Exam

What is the nurse's first action when a patient arrives in the ED with sudden right facial droop, right arm weakness, and speech difficulty?

  1. Wait two hours to see whether the symptoms resolve on their own
  2. Start the FAST assessment and notify the stroke team immediately
  3. Give aspirin right away without any diagnostic testing first
  4. Send the patient for an MRI before any nursing assessment
Show answer and explanation

Correct answer: Start the FAST assessment and notify the stroke team immediately

Rapid recognition of stroke signs using FAST and immediate activation of stroke protocol is critical as each minute of brain ischemia increases damage.

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