A patient develops sudden onset of confusion, slurred speech, right-sided weakness, and facial drooping. The nurse suspects a stroke. The most critical initial action is to:

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AAdminister aspirin immediately
BStart IV heparin infusion
CPlace in Trendelenburg position
DObtain emergency CT scan of the head to differentiate ischemic from hemorrhagic stroke

✓ Correct answer: D. Obtain emergency CT scan of the head to differentiate ischemic from hemorrhagic stroke An emergency non-contrast CT scan of the head is essential to differentiate ischemic stroke (treatable with tPA if eligible) from hemorrhagic stroke (where tPA is contraindicated). The time window for tPA is 3–4.5 hours from symptom onset.

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A patient develops sudden onset of confusion, slurred speech, right-sided weakness, and facial drooping. The nurse suspects a stroke. The most critical initial action is to:

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