The nurse is caring for a 65-year-old

The nurse is caring for a 65-year-old client who had an acute ischemic stroke(AIS) and has been prescribed recombinant tissue plasminogen activator (rTPA). Which of the following actions should the nurse plan to take? Administer a prescribed antihypertensive if systolic blood pressure (BP) is greater that 160mmhg and diastolic BP is greater than 90 mmhg Notify the primary health provider if the client develops a sevre headahe, elevated BP, or nausea and vomiting Obtain vital signs every four hours during rtPA infusion and avoid venipuncture for 24 hours after rtPA has infused Administer the prescribed antiplatelet agents prior sending the client for follow-up computed tomography ct scan SCIENCE HEALTH SCIENCE NURSING MED-SURG 242

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