Which assessment finding in the client receiving a thrombolytic drug indicates a serious problem that should be reported to the health care provider immediately?
1. Excessive bleeding
2. Hypertension
3. Bradycardia
4. Prolonged prothrombin time
Correct Answer: 1
Rationale 1: Thrombolytics have a narrow margin of safety between having therapeutic effects and causing severe adverse reactions.
Rationale 2: The primary risk of thrombolytics is excessive bleeding due to interference in the clotting process. Clients need to be monitored for early signs of bleeding, including hypotension, and tachycardia.
Rationale 3: The primary risk of thrombolytics is excessive bleeding due to interference in the clotting process. Clients need to be monitored for early signs of bleeding, including hypotension, and tachycardia.
Rationale 4: Thrombolytics do not inhibit the extrinsic clotting pathway, so prothrombin time monitoring is not indicated.
Global Rationale: Thrombolytics have a narrow margin of safety between having therapeutic effects and causing severe adverse reactions. The primary risk of thrombolytics is excessive bleeding due to interference in the clotting process. Clients need to be monitored for early signs of bleeding, including hypotension, and tachycardia. Thrombolytics do not inhibit the extrinsic clotting pathway, so prothrombin time monitoring is not indicated.
You might also like to view...
The nurse is caring for a patient with a cerebral injury with increased intracranial pressure (ICP). Which intervention can help prevent further increasing intracranial pressure?
a. Provide as much nursing care at one time as possible to allow the patient to rest. b. Space nursing care at intervals so that necessary care is distributed evenly throughout a shift. c. Provide stimulation such as radio and television for 12 hours each day. d. Avoid touching the patient as much as possible.
Discharge planning begins for an elderly patient hospitalized for 2 weeks with major depression. The patient needs ongoing assessment, socialization opportunities, and education about medication and relapse prevention
The patient lives with a daughter, who works during the week. Select the best referral for this patient. a. Behavioral health home care b. A skilled nursing facility c. Partial hospitalization d. A halfway house
A nurse is reviewing the laboratory results of a client that has been diagnosed with multiple myeloma. The nurse would expect to find which of the following with this diagnosis?
a. decreased number of plasma cells in the bone marrow b. increased white blood cells c. increased calcium level d. decreased blood urea nitrogen (BUN) level
The choice of drug for epilepsy pharmacology is determined upon assessment of the client. Once a medication is selected, what type of dose is the client placed on?
1. Bolus dose 2. Life dose 3. Maximum dose 4. Low initial dose