Acute Stroke: Priority Actions And Care Practice Test

A 64-year-old client with type 2 diabetes, hypertension, and smoking history arrives to the emergency department 90 minutes after sudden onset of right leg weakness and difficulty speaking. Assessment: BP 178/94 mmHg, HR 96/min, RR 18/min, SpO2 95% on room air; blood glucose 42 mg/dL (normal 70–110). Which intervention should the nurse implement FIRST?

A 70-year-old client with hypertension and hyperlipidemia presents to the emergency department 3 hours after sudden left-sided weakness and slurred speech began. Assessment: BP 212/110 mmHg, HR 78/min, RR 18/min, SpO2 96% on room air, blood glucose 102 mg/dL (normal 70–110). The provider writes orders for suspected acute ischemic stroke. The nurse should QUESTION which order related to stroke management?