The nurse is caring for a client who has been selected for thrombolytic therapy. Which of the following describes one of the criteria for choosing to administer this drug?
A) Ischemia of the heart persisting after administration of sublingual nitroglycerin
B) History of chest pain within the past 24 hours.
C) Recent history of surgery, cardiopulmonary resuscitation, or CVA
D) Recent history of bleeding abnormalities or head injury
A
Feedback:
The criteria for thrombolytic therapy include (1) history of chest pain within the past 6 hours (studies have shown that the sooner the pharmacologic agent is administered, the less heart muscle damage results); (2) ischemia (lack of blood supply) of the heart that persists even after the administration of sublingual nitroglycerin; and (3) no recent history of surgery, organ biopsy, cardiopulmonary resuscitation, hemorrhagic CVA, bleeding abnormalities, intracranial neoplasm, recent head injury, pregnancy, or allergy to streptokinase.
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