Question

A patient has sought care following a syncopal episode of unknown etiology. Which of the following nursing actions should the nurse prioritize in the patient's subsequent diagnostic workup?

1) Preparing to assist with a head-up tilt-test
2) Assessing the patient's knowledge of pacemakers
3) Preparing an intravenous dose of a B-adrenergic blocker
4) Teaching the patient about the role of antiplatelet aggregators

Answer 1

The nurse should prioritize preparing to assist with a head-up tilt test after a syncopal episode. Rapid assessment of neurological function using FAST is vital for stroke management. A 128 Hz tuning fork may be used to assess impaired sensory functions in neurological examinations.

Step-by-step explanation:

When a patient seeks care after a syncopal episode of unknown etiology, the nurse should prioritize preparing to assist with a head-up tilt test. This diagnostic procedure is essential in assessing the patient for orthostatic hypotension or vasovagal syncope. Other nursing actions, such as assessing the patient's knowledge of pacemakers, preparing an intravenous dose of a B-adrenergic blocker, or teaching the patient about antiplatelet aggregators, may follow later, depending on the results of the diagnostic workup and the underlying cause of the syncope.

Rapid assessment of neurological function in emergencies, such as a potential stroke, is critical for immediate management and treatment. The mnemonic FAST—Face, Arms, Speech, Time—is used to quickly recognize and respond to the signs of a stroke. For a patient with impaired sensory functions, a neurologist might perform an exam such as placing a 128 Hz tuning fork over a bone to assess the patient's sensory response.