Review Question - QID 213540

A 67-year-old man presents to the emergency department with a sudden-onset, severe headache. The patient was at home watching television when his symptoms started. He states he currently feels like his neck is stiff and painful to move and complains of a 10/10 headache. The patient has a past medical history of hypertension treated with lisinopril. His temperature is 98.7°F (37.1°C), blood pressure is 139/87 mmHg, pulse is 83/min, respirations are 15/min, and oxygen saturation is 99% on room air. Physical exam is notable for an uncomfortable man. Neurological exam reveals 2+ reflexes in the upper and lower extremities, 5/5 strength in the upper and lower extremities, normal sensation, and a cranial nerve exam that is unremarkable. A CT scan of the head is performed as shown in Figure A. The patient undergoes operative intervention and tolerates the procedure well. On hospital day 4, he develops difficulty with speech. As he is evaluated, 1/5 strength is noted in the right upper extremity. Facial droop with flattening of the nasolabial fold is noted on the right. There is slurring of speech, which is new. A repeat non-contrast CT scan of the head is obtained, which is negative for blood. Which of the following medications would have most likely prevented this complication.