Review Question - QID 215067

A 67-year-old man presents to the emergency department with sudden onset right-sided facial droop and right upper extremity weakness. He states that it started 2 hours ago and has not improved. The patient has a history of diabetes, hypertension, and dyslipidemia for which he takes metformin, lisinopril, dapagliflozin, and atorvastatin. He had a subdural hemorrhage 2 months ago after falling off a horse. His temperature is 99.5°F (37.5°C), blood pressure is 178/92 mmHg, pulse is 88/min, and respirations are 16/min. Physical exam reveals 2/5 strength in the patient's right upper extremity with an abnormal finger-nose on that side. The patient's right leg demonstrates 4/5 strength as well with no drift to the bed. The patient is right-handed and is unable to write or manipulate utensils. A computed tomography (CT) scan of the head is performed as seen in Figure A. Which of the following is the most appropriate next step in the management of this patient?