A patient has been diagnosed with an ischemic stroke. What is a priority nursing intervention during the acute phase?

Rationale: A. While aspirin is important for secondary prevention of ischemic stroke, it is not the priority during the acute phase if the patient is eligible for tPA. Administering aspirin before confirming eligibility for thrombolytic therapy can increase the risk of bleeding. B. In the acute phase of an ischemic stroke, rapid reperfusion is critical to restore blood flow and minimize brain tissue damage. tPA is most effective when administered within 3–4.5 hours of symptom onset, making it a priority intervention. Nursing responsibilities include assessing eligibility, monitoring for contraindications, and preparing the patient for safe administration. C. Seizure precautions may be needed for some stroke patients, but most ischemic stroke patients do not experience seizures immediately. While monitoring is important, it is not the first priority during the acute treatment window. D. Frequent neurological assessments, including pupillary checks, are important, but intervention to restore cerebral perfusion takes precedence. Monitoring alone does not prevent tissue damage in the acute phase.