A client experiencing a sudden onset of confusion and trouble speaking at home is transported to the emergency department. The client does not understand simple commands and appears very frustrated. Which intervention should the nurse perform in the immediate management of the client?

Test for a swallowing reflex and perform communication deficit assessments.

Administer aspirin to prevent further clot formation and platelet clumping

Initiate bilateral intermittent sequential pneumatic compression devices.

Determine when symptoms began and if improved or worsened since onset.