Question

A nurse in an emergency department is caring for a client who had an anterior MI. The client's history reveals she is 1 week postoperative following an open cholecystectomy. The nurse should recognize that which of the following interventions is contraindicated?

A. Administering IV Morphine Sulfate
B. Assisting with thrombolytic therapy
C. Administering oxygen at 2 L/min via nasal cannula
D. Helping the client to the bedside commode

Answer 1

Administering thrombolytic therapy is contraindicated in a client who had an anterior MI and is 1 week postoperative following an open cholecystectomy.

Step-by-step explanation:

Administering thrombolytic therapy is contraindicated in a client who had an anterior MI and is 1 week postoperative following an open cholecystectomy. Thrombolytic therapy is used to dissolve blood clots, and it carries a high risk of bleeding. Since the client is postoperative, her body may still be healing and she may have an increased risk of bleeding. Therefore, administering thrombolytic therapy in this situation could further increase the risk of bleeding, which is contraindicated.