💊 NCLEX-RN Exam Prep

A client is admitted with a suspected stroke. The nurse notes a Glasgow Coma Scale (GCS) score of 8. Which intervention is the highest priority for this client?

A Prepare for a lumbar puncture.
B Insert an indwelling urinary catheter.
C Protect the client's airway.
D Elevate the head of the bed to 30 degrees.

✓ Correct Answer: Option C

A GCS score of 8 or less indicates severe neurological impairment and an inability to protect the airway. Airway management (e.g., intubation) is the highest priority to prevent aspiration and ensure adequate oxygenation.

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