After completing an admission assessment on a patient who recently suffered a stroke,the nurse should choose which of the following nursing diagnoses as a priority?
A) Risk for inury
B) Altered thought process
C) Altered cerebral perfusion
D) Decreased mobility

Question

Quizplus · Accepted Answer

Altered cerebral perfusion is the priority diagnosis.Altered cerebral perfusion may be caused by an interruption in blood flow such as occlusive disorder,hemorrhage,cerebral vasospasm,or cerebral edema.It is important for the nurse to monitor cognitive status and vitals for patients experiencing altered cerebral perfusion.The patient is at risk for injury due to the effects of the stroke,however it is not the priority diagnosis.This patient may suffer from altered thought processes due to cerebral damage from the stroke; however,this is not the priority diagnosis.This patient may experience a decrease in mobility such as hemiparesis; however,it is not the priority diagnosis.

After Completing an Admission Assessment on a Patient Who Recently