A nurse is participating in a stroke alert for a client who…

A nurse is participating in a stroke alert for a client who arrived at the emergency department with right-sided weakness and slurred speech. The provider orders alteplase (tPA). Available information: Last known well time:5 hours ago NIH Stroke Scale score:14 Non-contrast CT scan:negative for hemorrhage Blood glucose:110 mg/dL Blood pressure:172/98 mm Hg Which finding requires the nurse to question the alteplase order immediately?