A nurse is caring for a client who received alteplase 12 hr ago following a thrombotic stroke. The nurse should monitor the client for which of the following adverse effects?
Laryngospasm
Polycythemia
Hemorrhage
Steatorrhea
The Correct Answer is C
A. Laryngospasm: Laryngospasm is not a commonly associated adverse effect of alteplase administration. It is more commonly associated with airway irritants or allergic reactions.
B. Polycythemia: Polycythemia, or an abnormally high red blood cell count, is not a typical adverse effect of alteplase administration. Alteplase is a thrombolytic agent used to dissolve blood clots and is not associated with increasing red blood cell production.
C. Hemorrhage: Hemorrhage, or bleeding, is the most significant adverse effect associated with alteplase administration. Alteplase works by promoting fibrinolysis and can increase the risk of bleeding, including intracranial hemorrhage, particularly in the context of thrombolytic therapy for stroke.
D. Steatorrhea: Steatorrhea, or fatty stools, is not a commonly associated adverse effect of alteplase administration. It is more commonly associated with malabsorption disorders or pancreatic insufficiency.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Endocarditis: Metronidazole is an antibiotic commonly used to treat infections caused by anaerobic bacteria, including certain types of endocarditis.
B. Kidney transplant: Metronidazole is not typically indicated for kidney transplant. Other antibiotics may be used in post-transplant care to prevent or treat infections.
C. Seizures: Metronidazole is not indicated for seizures. In fact, it may rarely cause neurological side effects such as seizures, but it is not typically used to treat seizures.
D. Hypokalemia: Metronidazole is not indicated for hypokalemia. It is an antibiotic and does not directly affect potassium levels.
Correct Answer is C
Explanation
A. Amphotericin B lipid complex typically appears as a yellowish suspension, so discarding it for being yellow would result in unnecessary waste.
B. The tubing isnt necessary when administering amphotericin B.
C. Guidelines suggest that administering by IV infusion over 2-6 hours.
D. Amphotericin B lipid complex should be administered using an infusion pump to ensure accurate dosing and control of the infusion rate, rather than relying on gravity flow.
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