The nurse is caring for a client who reports a sudden, severe headache, and facial numbness. The nurse asks the client to smile and observes an uneven smile with facial droop to the right side and a hand grasp strength that is weaker on the right than the left. The client denies a recent history of headaches or trauma. After obtaining vital signs, the nurse should implement which intervention?

C Administer aspirin to prevent further det formation and platelet dumping. A Place an indwelling urinary catheter and measure strict Intake and output. D Obtain a focused history to determine recent bleeding and use of anticoagulants. B Initiate bilateral intermittent sequential pneumatic compression devices.