A patient presents in the emergency department with symptoms of a stroke. Which of the following medications would the nurse expect may be given to the patient if diagnostic testing confirms an ischemic stroke?
a. Heparin
b. Warfarin (Coumadin)
c. Clopidogrel (Plavix)
d. Tissue-type plasminogen activator (tPA)
ANS: D
tPA is a thrombolytic agent that can break down the thrombus causing the occlusion, which can potentially prevent or completely reverse the symptoms of an ischemic stroke. Heparin, warfarin, and clopidogrel can help prevent clots but are not effective in breaking up an existing clot.
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