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What should be the nurse's first action when caring for a client who has a suspected stroke?

  • A. Assess the client's airway
  • B. Administer oxygen
  • C. Administer aspirin
  • D. Perform a CT scan
Correct Answer: A

Rationale: The correct answer is A: Assess the client's airway. This is the first action because airway patency is the top priority in any emergency situation, including a suspected stroke. Ensuring the client can breathe effectively is crucial to prevent hypoxia and further complications. Administering oxygen (choice B) may be necessary after assessing the airway. Administering aspirin (choice C) should be done after a definitive diagnosis of an ischemic stroke. Performing a CT scan (choice D) is important for diagnosis but is not the first action to take in a suspected stroke scenario.