Question

The nurse is administering thrombolytic therapy to a client who had a myocardial infarction. Which intervention does the nurse implement to reduce the risk of complications in this client?

a. Administer prescribed heparin.
b. Apply ice to the injection site.
c. Place the client in Trendelenburg position.
d. Instruct the client to take slow deep breaths.

Answer 1

To reduce complications in a client who had a myocardial infarction receiving thrombolytic therapy, the nurse can administer prescribed heparin. This intervention assists thrombolytic agents in dissolving the clot and preventing further clot formation.

Step-by-step explanation:

The nurse implementing thrombolytic therapy to a client who had a myocardial infarction may reduce the risk of complications by administering prescribed heparin. Heparin is an anticoagulant that helps to prevent further clotting and assists the action of thrombolytic agents which are critical in dissolving the existing clot. Thrombolytic therapy is an important first intervention following a myocardial event because it directly targets and breaks down the clot that is obstructing blood flow to the heart muscle, thereby rapidly restoring perfusion and minimizing heart tissue damage.