A Patient Admitted with Possible Stroke Has Been Aphasic for 3

question 12

Multiple Choice

A patient admitted with possible stroke has been aphasic for 3 hours and his current blood pressure (BP) is 174/94 mm Hg.Which order by the health care provider should the nurse question?

• A) Keep head of bed elevated at least 30 degrees.
• B) Infuse normal saline intravenously at 75 mL/hr.
• C) Administer tissue plasminogen activator (tPA) per protocol.
• D) Administer a labetalol (Normodyne) drip to keep BP less than 140/90 mm Hg.

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