On Initial Assessment of a Patient Hospitalized Following a Stroke

On initial assessment of a patient hospitalized following a stroke, the nurse finds the patient's blood pressure to be 180/90 mm Hg. Which of the following orders by the health care provider should the nurse question?

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

Correct Answer:

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