A client admitted to the intensive care unit with an acute i…

A client admitted to the intensive care unit with an acute ischemic stroke has been alert and oriented throughout the morning. During reassessment, the nurse notes the client is now lethargic, has increasing difficulty articulating words, and is slower to follow commands. Vital signs are BP 190/98 mmHg, HR 58 bpm, RR 12 breaths/min, and SpO₂ 96% on room air.  What is the nurse’s priority action?

11.  A nurse is caring for a client who experienced a right…

11.  A nurse is caring for a client who experienced a right cerebral hemisphere stroke 3 days ago. During the morning assessment, the nurse observes that the client attempts to transfer from the bed to a chair without assistance despite left-sided weakness. The client states, “I can do it myself. Nothing is wrong with me.” Which factor places this client at the greatest risk for injury?