question archive A nurse is preparing to administer thrombolytic therapy to a client who has an ischemic stroke
A nurse is preparing to administer thrombolytic therapy to a client who has an ischemic stroke
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A nurse is preparing to administer thrombolytic therapy to a client who has an ischemic stroke. Which of the following is an appropriate nursing action?
a. Elevate the head of bed between 25° and 30°
b. Insert an indwelling urinary catheter after therapy begins
c. Start the therapy within 8 hr
d. Monitor blood pressure every 30 min during the infusion
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Answer:
Option D
Monitor blood pressure every 30 min during the infusion
During thrombolytic therapy, increased blood pressure may cause many complications including damage to brain. Monitoring the blood pressure is primary while others are also observed.
