The nurse is caring for a postoperative patient who is receiving alteplase tPA (Activase) after developing a blood clot. The nurse notes a heart rate of 110 beats per minute and a blood pressure of 90/60 mm Hg. The nurse will perform which action?

Question

Quizplus · Accepted Answer

Alteplase tPA (Activase) is a thrombolytic agent used to dissolve blood clots, which increases the risk of bleeding. The nurse should assess for signs of bleeding, including checking the surgical dressing, especially if the patient shows signs of potential bleeding such as tachycardia (heart rate of 110 beats per minute) and hypotension (blood pressure of 90/60 mm Hg).

The Nurse Is Caring for a Postoperative Patient Who Is