What is the first action a nurse should take if a client is suspected of having a stroke?

Conducting a neurological assessment is the most critical first action if a client is suspected of having a stroke. This assessment allows the healthcare provider to evaluate the patient's neurological status quickly and effectively, identifying any deficits or changes in cognition, motor function, and speech that may indicate the type and severity of the stroke. This initial evaluation provides essential information that can guide further interventions and treatment decisions.

A rapid neurological assessment can also help in determining the appropriate urgency of interventions, as certain types of strokes may require immediate treatment to minimize brain damage and improve outcomes. Notably, the window of opportunity for effective treatment is often limited, making rapid assessment crucial.

Conducting an assessment prior to initiating treatments or alerting other team members ensures that the nursing care is based on current and accurate information about the client’s condition. This prioritization is especially vital in emergency situations, where timely decisions can significantly impact the patient's prognosis.