The question looks incomplete as the options are missing. I hope you must be referring to this below mentioned question.
The nurse is caring for a client diagnosed with a hemorrhagic stroke. The nurse recognizes that which intervention is most important?
1). Monitoring for seizure activity
2).Maintaining a patent airway
3).Elevating the head of the bed to 30 degrees
4).Administering a stool softener
During the care of the client diagnosed with a hemorrhagic stroke, the nurse should prioritize the maintenance of the patient's airway as the most important intervention.
The main nursing intervention is maintaining the airway. A hemorrhagic stroke can result in immediate consequences such as cerebral hypoxia, decreased cerebral blood flow, and damage extension. Cerebral hypoxia is reduced by ensuring that the blood in the brain is adequately oxygenated. Blood flow to the tissues is necessary for proper brain function. Tissue oxygenation can be kept up by giving out extra oxygen and keeping hemoglobin and hematocrit within acceptable ranges.
The airway takes precedence over all other procedures, which are all appropriate. This should be managed to avoid any possible chance of aspiration. The client should be watched closely due to the possibility of seizures, and stool softeners are advised to avoid constipation and straining, although these are not the most crucial measures.
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