A client diagnosed with a stroke is going to receive treatment with fibrinolytic therapy using the recombinant tissue plasminogen activator alteplase. The nurse realizes that this treatment:
1. Is indicated if the stroke symptoms have occurred within 6 hours or less.
2. Is administered to dissolve the clot that is occluding the cerebral circulation and reestablish circulation to the involved part of the brain.
3. Has not been associated with serious complications.
4. Is used to treat thrombotic and hemorrhagic strokes.
2. Is administered to dissolve the clot that is occluding the cerebral circulation and reestablish circulation to the involved part of the brain.
Rationale:
Thrombolytic therapy using recombinant tissue plasminogen activator is used to dissolve the clot formed with a thrombotic stroke. Dissolving the clot reestablishes cerebral circulation. The treatment can be used if the symptoms have occurred within 3 hours or less. Bleeding is a complication associated with the treatment, which may result in cerebral hemorrhage causing extensive brain damage and disability. The treatment is only used with thrombotic strokes.
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