A client who presented with an acute myocardial infarction is prescribed thrombolytic therapy. The client had a stroke 1 month ago. Which action does the nurse take?
a. Administer the medication as prescribed.
b. Perform a CT scan before administering the medication.
c. Contact the health care provider to dis-continue the prescribed therapy.
d. Administer the therapy with a normal sa-line bolus.
C
Recent stroke (within 2 months) is an absolute contraindication to thrombolytic therapy. The nurse should not give the medication under any conditions. The provider must be notified and made aware of the client's stroke history. None of the other options are appropriate.
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