Client presented to the ed with headache-slurred speech

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A client presented to the ED with a headache, slurred speech, and right-sided arm weakness. The client was brought to the ED by a family member, who states they were at lunch when the client began to show symptoms about 30 minutes ago. The client is alert and oriented to person, place, time, and situation. Vital signs are temperature 97.7°F (36.5°C); heart rate 89 bpm; respiration rate 22 breaths/min; blood pressure 170/89 mm Hg; and oxygen saturation 96% on room air. A PERRLA assessment reveals a 4-mm pupil size. The client reports a headache pain of 8 on a scale of 0 to 10. The client has a medical history of high blood pressure, diabetes, and high cholesterol. The nurse has received orders from the health care provider. Which three orders should the nurse perform right away? CT scan stat Enoxaprin sodium 150 nEq Blood glucose stat Neurologic assessment every 15 minutes t-PA stat Cranial x-ray.

Reference no: EM133753749

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