After a right hemisphere stroke, what should the nurse prioritize when planning care?

When prioritizing care after a right hemisphere stroke, it is essential to focus on providing close supervision due to the potential for impulsiveness. Individuals with right hemisphere strokes often experience changes in behavior and judgment, which may lead to impulsive actions that can result in safety risks. These patients might not fully assess situations or understand the consequences of their actions, making it crucial for healthcare providers to implement safety measures and provide constant observation to prevent falls or injuries.

While other considerations, such as addressing communication difficulties, supporting the affected arm, and positioning, are important in the overall care plan, ensuring the patient's safety takes precedence. Close supervision helps mitigate risks related to impulsivity, which can be particularly pronounced in right hemisphere strokes, thus ensuring that the patient remains safe during their recovery process.