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A client who presented with an acute myocardial infarction is prescribed thrombolytic therapy. The client had a stroke 1 month ago. Which action does the nurse take?

a. Administer the medication as prescribed.
b. Perform a CT scan before administering the medication.
c. Contact the health care provider to discontinue the prescribed therapy.
d. Administer the therapy with a normal saline bolus.

User Rikkles
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1 Answer

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Final answer:

The nurse should contact the healthcare provider to reassess medication administration considering the patient's recent stroke, as thrombolytic agents are contraindicated soon after a stroke due to hemorrhage risks.

Step-by-step explanation:

When dealing with a client who presented with an acute myocardial infarction and is prescribed thrombolytic therapy, yet has had a stroke within the past month, the nurse should contact the health care provider to discontinue the prescribed therapy. Thrombolytic agents are contraindicated in patients who have had a recent stroke due to the risk of hemorrhage. The administration of a thrombolytic agent is a critical intervention for someone who has suffered an ischemic stroke due to a blood clot known as a thrombus, and if administered within 3 hours, it can significantly improve the patient's prognosis. However, given the patient's recent stroke, a healthcare provider must reassess the situation to determine the next appropriate steps.

User Britto Thomas
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