The Nurse Is Admitting a Client Who Began Experiencing Right-Sided

The nurse is admitting a client who began experiencing right-sided arm and leg weakness to the emergency department. In which order should the nurse implement these actions included in the stroke protocol? (Select all that apply.)

A) Obtain CT scan without contrast.
B) Infuse tissue plasminogen activator (tPA) .
C) Administer oxygen to keep O2 saturation >95%.
D) Use National Institute of Health Stroke Scale to assess client.