A client is admitted to the intensive care unit (ICU) with a diagnosis of cerebrovascular accident (CVA). Which assessment by the nurse provides the most significant finding in differentiating between ischemic and hemorrhagic strokes?
A) A unit of fresh frozen plasma is infusing.
B) Neurological checks are ordered every 2 hours.
C) Keppra is ordered for treatment of focal seizures.
D) Oropharyngeal suctioning as needed.
A
Feedback:
FFP is used in the treatment of clotting deficiencies as seen with over dose of anticoagulants and would indicate a hemorrhagic stroke. Neuro checks ordered every 2 hours does not differentiate between types of strokes. Focal seizures can occur with any stroke and would not differentiate. Suctioning is a nursing action taken to maintain airway and does not indicate a specific type of stroke.
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