It is determined that a client has a large pulmonary embolism (PE). Fibrinolytic therapy is initiated. What is the nurse's priority action?
a. Monitor the client's oxygenation.
b. Teach the client about potential side ef-fects.
c. Monitor the IV insertion site.
d. Monitor for bleeding.
A
Airway and breathing are the top priority. The nurse would also need to monitor for bleeding when administering fibrinolytic therapy, and would monitor the IV site as well. Teaching the client is also a need, however. Oxygenation is the highest priority.
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