A client's assessment findings of hoarseness and audible wheezing noted at 2-3 feet (0.61-0.91 meters); trachea deviation towards the left; breathing pattern with prolonged exhalation followed by periods of shallow breathing; tenderness and increased fremitus with light palpation on the left side of the thorax cavity's base; and an occupation history as an oil refinery plant manager for the past ten years would be indicative of which condition

-A bilateral carotid ultrasound and endarterectomy.

Correct: The client transported to radiology for CT scan without contrast.

-The administration of recombinant tissue plasminogen activator (rtPA).

-Loading dose of ½ the dose of IV administration of digoxin 8-12 mcg/kg.

Rationale:

Standard of care for clients suspected of a stroke includes a CT scan without contrast within 30 minutes upon arrival to the ED to determine whether they are eligible to receive fibrinolytic therapy. Clients diagnosed with an acute ischemic stroke are eligible. Clients with a hemorrhagic stroke are not. Clients may receive the recombinant tissue plasminogen activator (rtPA) if given within 3-4.5 hours after the onset of the stroke symptoms.

Explanation:

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