Free SCRN Practice Test Questions | Stroke Certified Registered Nurse (SCRN) Examination

Question # 21

A patient admitted to the stroke unit following an acute ischemic stroke is experiencing severe agitation, attempts to pull out the intravenous lines and feeding tube, and disorientation to time and place. Which of the following nursing interventions should be implemented first?

Options:

Immediately applying four-point physical restraints and administering high-dose paralytics.

Assessing for and addressing potential physiological triggers of agitation such as hypoxia, pain, urinary retention, or metabolic disturbance.

Leaving the patient unattended in a dark, locked room to minimize sensory stimulation.

Discontinuing all monitoring equipment immediately to eliminate alarm fatigue.

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Name	Stroke Certified Registered Nurse (SCRN) Examination
Code	SCRN
Vendor	Nursing
Certification	American Board of Neuroscience Nursing (ABNN)