A common complication of using thrombolytic drugs S

Nausea

Hypertension

Fever

Bleeding

Answer and Explanation

The Correct Answer is D

A) Nausea
Nausea is not the most common or primary complication associated with thrombolytic drugs. While some patients may experience nausea as a minor side effect, it is not the hallmark complication of thrombolytic therapy. Thrombolytic drugs are used to dissolve blood clots, and their primary concern is related to bleeding due to their potent effect on clotting factors.

B) Hypertension
Hypertension (high blood pressure) is not typically associated with thrombolytic therapy. In fact, thrombolytic drugs are more likely to cause hypotension (low blood pressure) in some cases, especially if bleeding complications lead to significant blood loss.

C) Fever
Fever can occur as a side effect of many medications or conditions, but it is not a common or direct complication of thrombolytic therapy. Fever may occasionally arise as a response to infection, inflammation, or even the breakdown of clots, but it is not a primary concern when using thrombolytic drugs.

D) Bleeding
Bleeding is the most common and serious complication associated with thrombolytic drugs. These medications work by breaking down fibrin, the protein responsible for clot formation, to dissolve blood clots. While this is beneficial in conditions like myocardial infarction, stroke, or pulmonary embolism, it increases the risk of bleeding throughout the body. Bleeding can occur at various sites, including internal bleeding, gastrointestinal bleeding, and bleeding at the injection site.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A

Explanation

Given:

Volume of fluid: 100 mL

Infusion time: 45 minutes

Step 1: Convert infusion time to hours:

Infusion time (hr) = 45 min / 60 min/hr

Infusion time (hr) = 0.75 hr

Step 2: Calculate the infusion rate in mL/hr:

Flow rate (mL/hr) = Volume (mL) / Infusion time (hr)

Flow rate (mL/hr) = 100 mL / 0.75 hr

Flow rate (mL/hr) = 133.3333333 mL/hr

Step 3: Round to the nearest whole number:

Flow rate (mL/hr) ≈ 133 mL/hr

A. Transdermal patch B. Topical ointment C. Suspended release D. Sublingual

Correct Answer is D

Explanation

A) Transdermal patch:
Transdermal patches are designed for slow, continuous delivery of medication through the skin over a long period of time, typically 24 hours. Although they provide steady medication levels, they do not offer a rapid onset of action. This route is more suitable for long-term control of conditions like angina but is not the fastest for immediate relief.

B) Topical ointment:
Topical ointments are applied to the skin and absorb slowly. While they may have local effects, they are not used for quick systemic effects. In the case of nitroglycerin, topical ointments are generally used for sustained release over several hours and are not intended for immediate relief of chest pain.

C) Suspended release:
Suspended release formulations are designed to release the drug slowly over time. Like transdermal patches, these formulations are meant for long-term management, not for rapid onset. A suspended release formulation of nitroglycerin would not provide the immediate relief that is typically needed in cases of acute angina or chest pain.

D) Sublingual:
The sublingual route provides the most rapid onset of action for nitroglycerin. When nitroglycerin is placed under the tongue, it is absorbed directly into the bloodstream through the mucous membranes of the mouth. This bypasses the digestive system and the liver (first-pass metabolism), allowing the drug to take effect quickly—usually within 1 to 3 minutes—making it ideal for acute relief of chest pain or angina. This route is commonly used for emergencies when rapid relief is needed.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A common complication of using thrombolytic drugs S

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Calculate the flow rate in mL/hr. and Units/hr. (Equipment used is programmable in whole mL/hr and Show all work) Order: 100 mL 0.45% NS in 45 min by infusion pump. Calculate rate in ml/hr

Correct Answer is A

Explanation

A nurse is reinforcing teaching with a group of nurses about the administration of nitroglycerin. Which of the following routes of administration provides the most rapid onset for the client?

Correct Answer is D

Explanation

A Nitroglycerin drip is infusing at 3 mL/hr. the available solution is 50 mg of Nitroglycerin in 250 mL D5W. Calculate the following: mcg/hr

A nurse is preparing to administer lithium 300 mg PO to a client who has bipolar disorder. Available is lithium 150 mg capsules. How many capsules should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

A nurse caring for a client who has a new prescription for atenolol. For which of the following adverse effects should the nurse monitor the client?

Using abbreviations and the rules of the metric system, express the following quantities correctly: Six hundredth:

Order: diphenhydramine 25 mg PO q6h, PRN Available: diphenhydramine 12.5 mg/5 mL. How many mL would the nurse give?

Where do enteric coated tablets typically disintegrate in the body?

Order: dobutamine 5 mcg/kg/min Patient's weight: 152 lb Available: dobutamine 500 mg in 250 mL D5W What is the flow rate in ml/hr? (Round to the nearest tenths)

A nurse is preparing to administer clindamycin palmitate 225 mg PO to a client. Available iS clindamycin palmitate oral suspension 75 mg/5 mL. How many mL should the nurse administer? (Round to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)