The nurse is assessing a client with a possible stroke and finds that the client's aphasia started 3.5 hours previously and the blood pressure is 170/92 mm Hg. Which of these prescriptions by the health care provider should the nurse question?

Question

Quizplus · Accepted Answer

Because elevated BP may be a protective response to maintain cerebral perfusion, antihypertensive therapy is recommended only if mean arterial pressure (MAP) is >130 mm Hg or systolic pressure is >220 mm Hg. Fluid intake should be 1 500-2 000 mL daily to maintain cerebral blood flow. The head of the bed should be elevated to at least 30 degrees, unless the client has symptoms of poor tissue perfusion. tPA may be administered if the client meets the other criteria for tPA use.

The Nurse Is Assessing a Client with a Possible Stroke