When should a nurse recognize that the acute phase of a CVA has ended?
a. Forty-eight hours has passed from its on-set.
b. The patient begins to respond verbally.
c. BP drops.
d. Vital signs and neurologic signs stabilize.
D
When the vital and neurologic signs stabilize, the acute phase has ended. Verbal response, lower BP, and the passage of time without other signs are not adequate evidence that the acute phase has ended.
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