What is the priority intervention for a nurse caring for a client post-stroke?

The priority intervention for a nurse caring for a client post-stroke is monitoring for increased intracranial pressure (ICP). Following a stroke, especially if it involves hemorrhagic components, the risk of increased ICP is significant. This is due to the potential for edema, hemorrhage, or other complications that can lead to a rise in pressure within the skull, which can subsequently cause further brain injury or complications.

Monitoring for increased ICP is critical because it can manifest as changes in neurological status, such as altered level of consciousness or changes in pupil size and reactivity. Early detection of increased ICP allows for timely interventions that can protect brain function and potentially improve outcomes.

While assessing pain, promoting mobility, and facilitating communication are all important components of post-stroke care, they do not take precedence over the immediate need to ensure the client’s safety and monitor for life-threatening complications such as increased ICP. Addressing ICP can prevent further neurological damage and is essential in stabilizing the patient’s condition.