Final answer:
The nurse should expect a CT scan and ECG to be ordered for a patient with stroke symptoms, with the possibility of an echocardiogram, but cardiac catheterization and pacemaker placement are not typically first-line diagnostic tests for stroke.
Step-by-step explanation:
A patient presenting with stroke symptoms in the emergency department can expect to undergo several diagnostic tests to assess the condition accurately. The tests that the nurse should expect to see ordered include:
- Computed tomography (CT): This imaging test is used to obtain a clear picture of the brain and can detect bleeding or brain injury.
- Electrocardiogram (ECG): Although an ECG is not directly related to the diagnosis of a stroke, it can detect heart problems that may have led to the stroke, such as an irregular heartbeat that could cause a clot.
- Echocardiogram: An imaging test that uses ultrasound to look at the heart's structure and function can also help identify sources of clots.
Other tests such as cardiac catheterization and placement of a cardiac pacemaker are not typically initial diagnostic tests for a stroke but may be considered if heart-related issues are suspected to be contributing factors to the stroke. These tests could be done later, depending on the patient's specific condition and needs.
All these tests are crucial to formulating a proper diagnosis and treatment plan, with the CT scan often being the immediate test of choice due to its ability to quickly rule out bleeding. It's paramount to rapidly assess neurological function in these emergency scenarios, as immediate treatment is critical to minimize the long-term effects of a stroke. Tests like ECG and echocardiograms can help identify potential causes of the stroke, such as cardiac issues that may require follow-up care and additional interventions.