The nurse is involved in a blood pressure clinic in the community, and an individual with possible stroke symptoms is brought for evaluation
Which of the following findings in the F.A.S.T. assessment indicate the need to call emergency personnel? (Select all that apply.)
a. When asked to close the eyes and hold arms straight in front, one arm drifts downward.
b. The patient sways when asked to stand still with eyes closed.
c. The patient is unable to repeat a stated phrase exactly as it was stated.
d. The patient's face shows signs of uneven symmetry when asked to smile.
e. The patient is unable to follow directions during the assessment.
ANS: A, C, D
The acronym F.A.S.T. can help identify a stroke. Ask the person to smile: If the face droops or is uneven on one side, it is abnormal. Ask the person to close his or her eyes and hold arms out in front of him or her: If an arm cannot be raised or drifts downward, it is abnormal. Ask the person to say "It is a bright and sunny day": Any difficulty understanding or speaking is abnormal. Call 911 immediately for any abnormal findings. These are all indicators of a possible stroke. Brain cells may be dying. Inability to follow instructions is a concern but is not part of the F.A.S.T. assessment.
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