Which of the following nursing assessments would detect the earliest sign of deterioration in the patient with a hemorrhagic stroke?
A) Hypotension
B) Agitation
C) Slight slurring of speech
D) Difficulty sleeping
Ans: C
Feedback: Alteration in level of consciousness often is the earliest sign of deterioration in a patient with a hemorrhagic stroke. Mild drowsiness and slight slurring of speech may be early signs that the patient's level of consciousness is deteriorating. Because nurses have the most frequent contact with patients, it is often the nurse who is the first to detect what may be subtle changes. Frequent nursing assessment is crucial in the patient with known or suspected cerebral aneurysm.
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