The nurse is caring for a client who reports a sudden, severe headache, and facial numbness. The nurse asks the client to smile and observes an uneven smile with facial droop to the right side and a hand grasp strength that is weaker on the right than the left. The client denies a recent history of headaches or trauma. After obtaining vital signs, the nurse should implement which intervention?

Choice A reason: Sequential compression devices are used to prevent deep vein thrombosis in immobile clients, but they do not address acute neurological symptoms. This intervention is not relevant to the client’s presentation of possible stroke. Choice B reason: Administering aspirin could be dangerous without first ruling out hemorrhagic stroke. Aspirin is appropriate for ischemic stroke but contraindicated in hemorrhagic stroke because it increases bleeding risk. Immediate history and diagnostic evaluation are required before giving antiplatelet therapy. Choice C reason: Placing an indwelling urinary catheter and measuring intake and output is not a priority in acute stroke management. While monitoring fluid balance may be important later, the immediate concern is determining the cause of neurological deficits. Choice D reason: Obtaining a focused history to determine recent bleeding and anticoagulant use is the correct action. This information helps differentiate between ischemic and hemorrhagic stroke, guiding safe treatment decisions. For example, if the client is on anticoagulants or has a history of bleeding, aspirin or thrombolytic therapy could be contraindicated. This step ensures safe and appropriate management of the acute neurological event.