A client is receiving an infusion of tissue plasminogen activator (t-PA). The nurse assesses the client to be disoriented to person place and time. What action by the nurse is best?

A client is receiving an infusion of tissue plasminogen activator (t-PA). The nurse assesses the client to be disoriented to person place and time. What action by the nurse is best?
a. Assess the clients pupillary responses.b. Request a neurologic consultation.c. Stop the infusion and call the provider.d. Take and document a full set of vital signs.

 

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