The Client Receives Reteplase (Retavase) Intravenously (IV)

The client receives reteplase (Retavase) intravenously (IV) . The nurse assesses the client for orientation and level of consciousness. The client's wife asks the nurse why this is being done. What does the nurse indicate as the reason for the assessment?

A) The medication can alter fluid balance; this affects orientation and level of consciousness.
B) The medication causes hypoglycemia; this affects orientation and level of consciousness.
C) The medication decreases oxygen to the brain; this decreases orientation and level of consciousness.
D) The medication can cause bleeding in the brain; this affects orientation and level of consciousness.