Which action is a nursing responsibility for a patient who has had a stroke?

• A. Bright lights in room
• B. Elevate HOB
• C. Keep neck flexed
• D. Offer spicy foods

Answer: (B)

Positioning to optimize cerebral perfusion and airway safety is a key nursing responsibility after a stroke. Elevating the head of the bed to about 30 degrees helps drain venous blood from the brain, lowers intracranial pressure, and supports airway protection during swallowing, provided there isn’t a contraindication like hypotension or spinal injury. Keep the head and neck in a neutral, midline position to maintain airway patency and ensure effective venous return.

Avoid neck flexion, which can obstruct the airway and impede venous drainage, and be mindful that choices like keeping the neck flexed, exposing the patient to bright lights without cause, or offering spicy foods aren’t standard actions to protect the patient after a stroke.