Difficulty: Medium
Average Score: 71%
Simulated
What is a priority nursing assessment in the first 24 hours after admission of the client with a thrombotic stroke?
Correct answer
B
Rationale
Pupil size and pupillary response are priority assessments to detect neurological deterioration, such as increased ICP or stroke extension. Cholesterol, bowel sounds, and echocardiograms are not immediate priorities.