Difficulty: Medium
Average Score: 65%
Simulated
The nurse is caring for a client who reports a sudden, severe headache, and facial numbness. The nurse asks the client to smile and observes an uneven smile with facial droop to the right side and a hand grasp strength that is weaker on the right than the left. The client denies a recent history of headaches or trauma. Which intervention should the nurse should perform in the immediate management of the client?
Correct answer
C
Rationale
Symptoms like facial droop and weakness suggest a stroke. Notifying the stroke team ensures rapid assessment and intervention to minimize brain damage.