What should be the priority intervention for a nurse caring for a client who has experienced a right-brain stroke?

What should be the priority intervention for a nurse caring for a client who has experienced a right-brain stroke?

• A. Assess emotional status
• B. Give range of motion exercises
• C. Keep client safe
• D. Provide communication assistance

Answer: (C)

In the context of a client who has experienced a right-brain stroke, ensuring the safety of the client is the priority intervention. Right-brain strokes often result in impairments in spatial awareness, judgment, and the ability to understand the environment. This can lead to an increased risk of falls and injuries, as the client may have difficulty perceiving their surroundings accurately. By prioritizing safety, the nurse can implement measures such as ensuring a clutter-free environment, assisting the client with mobility, and using safety devices if necessary. This foundational step is crucial to prevent further complications while addressing other concerns, such as emotional status, mobility exercises, or communication assistance, which may also be important but are secondary to immediate safety needs.

In the context of a client who has experienced a right-brain stroke, ensuring the safety of the client is the priority intervention. Right-brain strokes often result in impairments in spatial awareness, judgment, and the ability to understand the environment. This can lead to an increased risk of falls and injuries, as the client may have difficulty perceiving their surroundings accurately.

By prioritizing safety, the nurse can implement measures such as ensuring a clutter-free environment, assisting the client with mobility, and using safety devices if necessary. This foundational step is crucial to prevent further complications while addressing other concerns, such as emotional status, mobility exercises, or communication assistance, which may also be important but are secondary to immediate safety needs.