Which of the following clients' signs and symptoms would allow a clinician to be most justified in ruling out stroke as a cause? An adult
A) has had a gradual onset of weakness, headache, and visual disturbances over the last 2 days.
B) has experienced a sudden loss of balance and slurred speech.
C) has vomited and complained of a severe headache.
D) states that his left arm and leg are numb, and gait is consequently unsteady.
Ans:
A
Feedback:
A cardinal trait of the manifestations of stroke is that the onset is sudden, and a gradual onset of symptoms over 2 days would suggest an alternative etiology. Ataxia, slurred speech, and unilateral numbness are associated with stroke, with sudden vomiting and headache being particularly indicative of a hemorrhagic CVA.
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