A patient being treated for a cardiac dysrhythmia is demonstrating signs of an ischemic stroke
What assessment findings alerted the nurse to the development of this complication? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Garbled speech
2. Inability to see out of the right eye
3. Complaint of a sudden severe headache
4. New onset of left arm and leg weakness
5. Sudden onset of pain and swelling in one lower extremity limb
1,2,3,4
Rationale 1: Difficulty understanding speech or speaking is symptom of an ischemic stroke.
Rationale 2: The inability to see out of one eye is a symptom of an ischemic stroke.
Rationale 3: A new onset of a sudden severe headache is a symptom of an ischemic stroke.
Rationale 4: The onset of weakness on one side of the body is a symptom of an ischemic stroke.
Rationale 5: The sudden onset of pain and swelling in one lower extremity limb is not a symptom of ischemic stroke but rather a venous thromboembolism.
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