You are dispatched to a residence for a middle-aged woman with generalized weakness of approximately 18 hours' duration. Your primary assessment reveals right-sided hemiparesis, a left-sided facial droop, and bilaterally equal and reactive pupils. Further assessment reveals that her blood glucose level is 70 mg/dL. En route to the hospital, you note increased movement of her right arm. She is receiving oxygen via nasal cannula and has a patent IV line in place. Which of the following statements regarding this scenario is correct?
A) You should administer nitroglycerin or labetalol if her systolic blood pressure is greater than 150 mm Hg.
B) The patient will likely receive fibrinolytic therapy in the emergency department if no contraindications exist.
C) Although the patient is likely experiencing a TIA, you should treat her as though she is experiencing a stroke.
D) The patient's signs and symptoms are likely the result of her blood sugar and will resolve with dextrose.
Answer: C) Although the patient is likely experiencing a TIA, you should treat her as though she is experiencing a stroke.
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