A patient diagnosed with a hemorrhagic stroke reports of a sudden, severe headache (9 out of 10 pain). Prioritize the next actions:

1. Administer acetaminophen or apply a cold pack to the patient's head.

2. Perform a neuro assessment.

3. Notify the physician.

4. Notify the charge nurse.


• A headache may indicate that the intracranial bleed is worsening. The nurse should first perform a neuro assessment and then immediately notify the physician. Treatment is time-sensitive, so the nurse should work fast.

• The physician will decide whether a cold pack or acetaminophen is appropriate.

• The charge nurse should be updated on the situation after the physician has been notified and time-sensitive treatment given.

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