Final answer:
The nurse should closely monitor neurological and vital signs post-stroke to identify any changes in the patient's status. FAST (Face drooping, Arm weakness, Speech difficulties, Time to call emergency) helps in recognizing stroke symptoms. Thrombolytic agents are administered for thrombotic strokes, and rapid neurological function assessment is critical.
Step-by-step explanation:
During the first 72 hours post-stroke, the primary goals are to stabilize the patient and prevent further complications. Among various interventions, the most appropriate action to take would be: B) Monitor neurologic and vital signs closely to identify early changes in status. This helps in the rapid detection and prompt management of complications, which can significantly affect the outcome. It is also important to recognize stroke symptoms promptly; the mnemonic FAST is used to remember the signs of a stroke, emphasizing the critical nature of Face drooping, Arms weakness, Speech difficulties, and Time to call emergency services for quick assessment and intervention.
Administration of a thrombolytic agent is crucial in the case of a thrombotic stroke, as it dissolves the clot that is blocking blood flow to the brain. Rapid assessment of neurological function is essential in these situations to determine the severity of the stroke and to guide the course of treatment. This assessment helps to ascertain the location and extent of the neurological damage.
Assessing a patient's neurological function can allow healthcare providers to pinpoint the CNS damage caused by the stroke and thereby tailor the treatment to the patient's specific needs. Post-stroke care often involves rehabilitation efforts such as physical, occupational, and speech therapy to improve functioning and assist in recovery.