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 implement next?

Initiate bilateral intermittent sequential pneumatic compression devices.

Test for a swallowing reflex and perform communication deficit assessments.

Start two large bore IV catheters and review inclusion criteria for IV fibrinolytic therapy.

Place an indwelling urinary catheter and measure strict intake and output.