An 86-year-old man has been admitted to the intensive care unit after receiving thrombolytic therapy for an ischemic stroke, confirmed by a CT scan. Which of the following applies to the care of this patient?
A) The blood pressure should be maintained with the systolic pressure less than 190 mm Hg and the diastolic pressure less than 110 mm Hg.
B) Patients with hemorrhagic stroke may also receive thrombolytics.
C) The therapy may be given up to 5 hours after the symptoms of an ischemic stroke.
D) Continuous cardiac monitoring is implemented.
Ans: D
Chapter: 62
Cognitive Level: Application
Difficulty: Difficult
Integrated Process: Nursing Process
Objective: 4
Patient Needs: D-3
Feedback: The patient is admitted to the intensive care unit, where continuous cardiac monitoring is implemented. To realize the full potential of thrombolytic therapy, community education directed at recognizing the symptoms of stroke and obtaining appropriate emergency care is necessary to ensure rapid transport to a hospital and initiation of therapy within the 3-hour time frame. The blood pressure should be maintained with the systolic pressure less than 180 mm Hg and the diastolic pressure less than 100 mm Hg. Administration of thrombolytics in patients with hemorrhagic stroke is contraindicated.
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