An elderly man presents with slurred speech, confusion, and unilateral facial asymmetry. When asked to squeeze your hands, the strength in his left hand is markedly less than the strength in his right hand. The patient's wife tells you that her husband has type 2 diabetes and hypertension. On the basis of your clinical findings, you should:

A) consider him a candidate for fibrinolytic therapy if his symptoms began less than 12 hours ago.
B) rule out hypoglycemia by assessing his blood sugar, but suspect a right-sided ischemic stroke.
C) start an IV and administer crystalloid fluid boluses if his systolic blood pressure is less than 110 mm Hg.
D) suspect that he is experiencing a hemorrhagic stroke, begin immediate transport, and start an IV en route.

Answer: B) rule out hypoglycemia by assessing his blood sugar, but suspect a right-sided ischemic stroke.

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