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concept of nursing 1

Fibrinolytic therapy for acute myocardial infraction- CE

QuestionAnswer
A 52-year-old patient who is receiving a fibrinolytic for a STEMI begins to complain of a severe headache and develops a left facial droop. Which interventions are the most appropriate? Stop the fibrinolytic infusion, notify the practitioner, and prepare the patient for emergent computed tomography.
What is an absolute contraindication for the use of fibrinolytics in a patient with a STEMI? Severe, uncontrolled hypertension
A patient is receiving a fibrinolytic infusion for a STEMI. What assessment finding would the nurse expect during the infusion? Ventricular tachycardia
In which patient would a fibrinolytic likely be ineffective versus contraindicated? . A patient who had a STEMI approximately 30 hours earlier.
During a fibrinolytic infusion for STEMI, a patient vomits 150 ml of bright red blood. Which intervention is appropriate? Discontinue the fibrinolytic infusion.
When the IV pump alarm sounds after the fibrinolytic infusion for a STEMI is complete, which action is performed next? Hanging a 0.9% sodium chloride solution
Which intervention is appropriate to prevent bruising and bleeding in a patient who is receiving a fibrinolytic for the treatment of a STEMI? Using a drawsheet to reposition the patient in bed
Patient information is being gathered before the administration of a fibrinolytic for a STEMI. What important information should be documented? The patient’s actual weight in kilograms
Which instruction should be included for the patient when beginning a fibrinolytic infusion for a STEMI? “Let me know if you develop a headache.”
A patient with chest pain arrives by ambulance to the ED. A 12-lead ECG shows a STEMI and the patient is a candidate for fibrinolytic therapy. What is the recommended “door-to-needle” time for the best outcome of this treatment? 30 minutes
Created by: Lightnning54
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