Your 56-year-old patient is in bed and unable to speak. Family members state that he has had a previous stroke and has been bedridden since, but has always been able to talk, until a few hours ago when his speech became garbled. They also state that the last stroke left him paralyzed on his left side. Your assessment reveals him unable to speak, but with an open airway, adequate respirations, and a strong radial pulse. Additionally you note that he is unable to move his right arm. Vital signs are within normal limits. Which of the following would be most appropriate in the care on this patient?

Question

Quizplus · Accepted Answer

Given the patient's history of a stroke and sudden onset of garbled speech, it is highly likely that they are experiencing another stroke. Time is critical in stroke management, and rapid transport to a hospital equipped to provide appropriate care, such as a stroke center, is the most important action to take in this situation. The other options, such as suctioning the mouth or administering positive pressure ventilation, are not indicated based on the patient's current condition. Inserting an oropharyngeal airway may also not be necessary as the patient's airway is currently open and they are breathing adequately.

Your 56-Year-Old Patient Is in Bed and Unable to Speak