Author Question: The client is caring for a client who is prescribed a thrombolytic drug. Which item inthe client's ... (Read 39 times)

OSWALD · **on:** Jul 23, 2018

The client is caring for a client who is prescribed a thrombolytic drug. Which item inthe client's history does not support the use of this medication?

1. Pulmonary embolism
2. Acute MI
3. Postoperative bleeding
4. Cerebrovascular accident (CVA)

Question 2

A client has been ordered a thrombolytic medication. Why is it important for the nurse to obtain a comprehensive medication history for this client?

1. Many patients are allergic to this medication.
2. Thrombolytics cannot be given to a patient with a history of asthma.
3. Thrombolytics will stop bleeding.
4. Thrombolytics are contraindicated in patients with active bleeding or with a history of recent trauma.

bigcheese9 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

3

Rationale 1: Thrombolytics are prescribed for disorders in which a clot has already formed.
Rationale 2: Thrombolytics are prescribed for disorders in which a clot has already formed.
Rationale 3: Postoperative bleeding would not be a reason to prescribe a thrombolytic drug.
Rationale 4: Thrombolytics are prescribed for disorders in which a clot has already formed.

Global Rationale: Postoperative bleeding would not be a reason to prescribe a thrombolytic drug. Thrombolytics are prescribed for disorders in which a clot has already formed, including a pulmonary embolism, acute MI, and cerebrovascular accident (CVA).

Answer to Question 2

4

Rationale 1:Thrombolytics are produced through recombinant DNA technology and identical to enzyme human tPA.
Rationale 2: Thrombolytics not be given to a patient with a history of asthma.
Rationale 3: Thrombolytics are used to dissolve clots.
Rationale 4: Thrombolytics are contraindicated in patients with active bleeding or with a history of recent trauma.

Global Rationale: Thrombolytics have a narrow margin of safety between dissolving normal and abnormal clots. Thrombolytics are contraindicated in patients with active bleeding or a history of recent trauma