A 65-Year-Old Man with a History of Hypertension Is Brought

question 4

Multiple Choice

A 65-year-old man with a history of hypertension is brought to the emergency department for acute onset of right-sided weakness and slurred speech, which started an hour ago.  He takes no prescription medications and has no history of bleeding.
The patient's blood pressure is 170/96 mm Hg.  On examination, he has right lower facial droop, dysarthria, and diminished strength in his right upper and lower extremities.
A non-contrast head CT is negative.  His finger stick blood glucose is 90 mg/dL.  Intravenous tissue plasminogen activator is administered.
Assuming this patient's symptoms do not resolve rapidly, which of the following is the most appropriate next step in management?

• A)Aspirin after 24 hours and subcutaneous low-dose enoxaparin now
• B)Aspirin now and subcutaneous low-dose enoxaparin after 24 hours
• C)Both aspirin and subcutaneous low-dose enoxaparin after 24 hours
• D)Both aspirin and subcutaneous low-dose enoxaparin now

---

Definitions:

Skill Blocks

Modular and progressive units of learning or competency development designed to build upon one's abilities or mastery of specific skills.

Skill-Based Pay

A compensation system where employees are paid based on their skills, expertise, and the complexity of the tasks they can perform, rather than just their job title or position.

Skill Certification

A formal process through which an individual's expertise in specific areas is recognized, typically through assessments or coursework.

Competency-Based Pay

Salary determination method where compensation is based on an employee's skill, knowledge, and performance level rather than job title or position.