Alteplase (Activase) is prescribed for a client with an acute myocardial infarction. Which is the priority nursing intervention for this client?
1. Monitor APTT.
2. Monitor PT/INR.
3. Monitor injection sites.
4. Monitor level of consciousness (LOC).
Correct Answer: 4
Rationale 1: Thrombolytics do not affect APTT.
Rationale 2: Thrombolytics do not affect PT/INR.
Rationale 3: Thrombolytics can cause bleeding from the IV site, but that is not as important as is cerebral hemorrhage.
Rationale 4: Thrombolytics dissolve any clots they encounter. Cerebral hemorrhage is a major concern, so the nurse must assess the level of consciousness and neurological status.
Global Rationale: Thrombolytics dissolve any clots they encounter. Cerebral hemorrhage is a major concern, so the nurse must assess the level of consciousness and neurological status. Thrombolytics do not affect APTT or PT/INR. Thrombolytics can cause bleeding from the IV site, but that is not as important as is cerebral hemorrhage.
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What is the purpose of Beck's postpartum depression theory?
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