Author Question: The nurse is auditing the medical records of MI clients treated with thrombolytic therapy in the ... (Read 90 times)

cagreen833 · **on:** Jul 23, 2018

The nurse is auditing the medical records of MI clients treated with thrombolytic therapy in the emergency department.

The nurse knows that the ideal time for a client to be treated with thrombolytics is within _____ minutes or less for the best outcomes.
Standard Text: Record your answer rounding to the nearest whole number.

Fill in the blank with the appropriate word.

Question 2

The nurse is reviewing the health history for a client who may be a candidate for thrombolytic therapy for the treatment of an MI. The nurse knows that therapy is contraindicated in which circumstances?

Standard Text: Select all that apply.
1. Menses
2. A history of intracranial hemorrhage
3. Hemophilia
4. Liver disease
5. Peptic ulcer disease

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

Answer to Question 1

Correct Answer: 30
Rationale: Thrombolytics are most effective when administered from 20 minutes to 12 hours after the onset of MI symptoms. Ideally, the time from presentation in the emergency department to administration of the thrombolytic agent should be 30 minutes or less. Research has demonstrated little or no therapeutic benefit if the drugs are administered 24 hours or more after the MI onset.
Global Rationale: Thrombolytics are most effective when administered from 20 minutes to 12 hours after the onset of MI symptoms. Ideally, the time from presentation in the emergency department to administration of the thrombolytic agent should be 30 minutes or less. Research has demonstrated little or no therapeutic benefit if the drugs are administered 24 hours or more after the MI onset.

Answer to Question 2

Correct Answer: 2,3,4,5
Rationale 1: Menses is not a contraindication for thrombolytic therapy.
Rationale 2: A history of intracranial hemorrhage is a contraindication for thrombolytic therapy.
Rationale 3: Hemophilia, a clotting disorder, is a contraindication for thrombolytic therapy.
Rationale 4: Liver disease is a contraindication for thrombolytic therapy.
Rationale 5: Peptic ulcer disease is a contraindication for thrombolytic therapy.
Global Rationale: A history of intracranial hemorrhage, hemophilia, liver disease, and peptic ulcer disease are all contraindications for thrombolytic therapy. Menses is not a contraindication for thrombolytic therapy.