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The Nurse Is Caring for a Patient Admitted with New

Question 13

Multiple Choice

The nurse is caring for a patient admitted with new onset of slurred speech,facial droop,and left-sided weakness 8 hours ago.Diagnostic computed tomography scan rules out the presence of an intracranial bleed.Which actions are most important to include in the patient's plan of care? (Select all that apply.)


A) Make frequent neurological assessments.
B) Maintain CO2 level at 50 mm Hg.
C) Maintain MAP less than 130 mm Hg.
D) Prepare for thrombolytic administration.
E) Restrain affected limb to prevent injury.

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