Contraindications for beginning fibrinolytic therapy include which of the following? Select
all that apply.
a. Currently on Coumadin with an INR of 2.4
b. Major surgery in the last 14 days
c. Systolic BP of 150
d. Platelet count of less than 100,000
e. Blood glucose of less than 50 mg/dL
f. History of myocardial infarction 1 year ago
g. Improving neurologic status
a, b, d, e, f, g
For a patient to qualify for fibrinolytic therapy, the neurologic signs should not be clearing
spontaneously. There should be no history of head trauma, myocardial infarction, or prior stroke
in the past 3 months or major surgery in past 14 days. The patient's platelet count must be greater
than 100,000 and the blood glucose level greater than 50 mg/dL (2.7 mmol). The systolic BP needs
to be less than 185 and the diastolic BP less than 110 . The patient should not be taking an oral
anticoagulant; if so, the INR must be less than 1.7.
You might also like to view...
An adult client who is newly diagnosed with type 2 diabetes has smoked for 30 years
When teaching the client on ways to optimize health outcomes, what should the nurse explain about the effects of smoking and diabetes? A) Smoking is a major factor in the development of diabetic neuropathy. B) Smoking increases insulin resistance. C) Smoking accelerates arteriosclerotic changes in blood vessels. D) Smoking promotes weight gain.
A client asks if insurance pays for genetic testing. How should the nurse respond?
Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. "It depends on the insurance carrier." 2. "They are required to do so by federal law." 3. "These tests are not paid for by insurance companies." 4. "Insurance companies do not, but a federal program pays for many of them if you allow them access to the results." 5. "Some insurance companies pay for some tests."
The nurse is assessing a client for altered hearing and vestibular function. Which of the following findings require physician collaboration? (Select all that apply.)
A. Elongation of the pinna in a 70-year-old male B. Cerumen impaction in a 75-year-old female C. Clear drainage from the ear canal D. Increasing vertigo E. Inability to hear high frequency sounds in a 68-year-old male F. Complaints of "tinnitus in ears" after starting gentamicinG. Bulging, red tympanic membrane
The difference between a benign and a malignant tumor is that malignant tumors:
1. May recur after treatment, may occur in other tissues, and have an irregular shape. 2. Rarely recur after treatment, remain localized, and have a regular shape. 3. May recur after treatment, are well differentiated, and have an irregular shape. 4. Rarely recur after treatment, stay localized, and have moderate irregularity.