A Patient Admitted with Possible Stroke Has Been Aphasic for 3

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) Start a labetalol drip to keep BP less than 140/90 mm Hg.
D) Administer tissue plasminogen activator (tPA) intravenously per protocol.