A client diagnosed with a stroke is going to receive treatment with fibrinolytic therapy using the recombinant tissue plasminogen activator alteplase
Which information will the nurse include when performing medication teaching for the client's family?
A) Used to treat thrombotic and hemorrhagic strokes
B) Not associated with serious complications
C) Indicated if the stroke symptoms have occurred within the last 6 hours
D) Administered to dissolve the clot that is occluding the cerebral circulation and reestablish circulation to the involved part of the brain
Answer: D
Thrombolytic therapy using recombinant tissue plasminogen activator is used to dissolve the clot formed with a thrombotic stroke. Dissolving the clot reestablishes cerebral circulation. The treatment can be used if the symptoms have occurred within the last 3 hours. Bleeding is a complication associated with the treatment, which may result in cerebral hemorrhage causing extensive brain damage and disability. The treatment is only used with thrombotic strokes.
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The daughter in a family consisting of a father, mother, and two sons describes the family to the
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a. confirm ongoing discharge planning. b. expand and confirm the initial assessment. c. verify the appropriateness of nursing diagnoses. d. analyze the patient's feelings about hospitalization.
In evaluating a client on anxiolytics for the presence of therapeutic effects, which of the following would indicate a positive response?
a. decreased frequency of seizures c. improved muscular rigidity b. increased blood pressure d. decreased pulse rate