Question

you are treating a patient experiencing a stroke who is aphasic. he is unable to move his right arm and legs. after applying oxygen and assuring his airway is clear, which treatment will most likely benefit this patient?

have him sit up straight to improve circulation to the head.
continue talking and reassuring the patient.
move the patient to a couch or recliner.
check his pulse oximetry reading.

Explanation:

Analyze patient condition and needs

Using the Stroke Pathophysiology knowledge point
The patient is experiencing a stroke, is aphasic (unable to speak or understand speech normally), and has right-sided paralysis. Oxygen has already been applied and the airway is confirmed clear.

Evaluate therapeutic communication

Using the Therapeutic Communication knowledge point
Aphasic patients can often still hear and understand what is being said around them, even if they cannot speak. Continuing to talk to and reassure the patient helps reduce anxiety, provides comfort, and maintains professional, empathetic care during a highly stressful emergency.

Assess remaining options

• Sitting the patient straight up is not indicated as it can decrease cerebral perfusion pressure.
• Moving the patient to a couch or recliner is inappropriate and delays transport to a stroke center.
• Checking pulse oximetry is an assessment step, not a treatment, and oxygen has already been applied.

Answer:

• Have him sit up straight to improve circulation to the head.
• Continue talking and reassuring the patient. (Correct answer)
• Move the patient to a couch or recliner.
• Check his pulse oximetry reading.