What should a nurse assess for in a client with a history of stroke?

In a client with a history of stroke, assessing for neurological deficits and mobility issues is vital due to the potential impact of strokes on the nervous system and physical capabilities. Strokes can lead to a variety of impairments, including weakness on one side of the body, difficulty with coordination, and challenges with balance. These neurological deficits can significantly affect the client's independence and quality of life.

Mobility issues are also a critical area of concern, as they can lead to complications such as falls, loss of function, and increased risk of further cardiovascular events. By focusing on neurological assessments, the nurse can identify changes in the client’s condition early, leading to timely interventions that may improve outcomes or prevent further complications.

While hearing capabilities and speech clarity are important, especially if the stroke affected areas of the brain related to speech and language, these factors are part of the broader neurological assessment. Respiratory rate and heart sounds, while relevant in a general health assessment, are not the primary focus when monitoring a stroke history. Additionally, skin integrity and hydration levels are essential aspects of overall care but do not directly address the specific consequences of stroke on the client's neurological status and mobility.