A client is receiving an infusion of alteplase (Activase)for an intra-arterial clot.The client begins to mumble and is disoriented.What action by the nurse takes priority?

Question

Quizplus · Accepted Answer

Clients on fibrinolytic therapy are at high risk of bleeding.The sudden onset of neurologic signs may indicate the client is having a hemorrhagic stroke.The nurse does need to complete a thorough neurological examination,but should first call the Rapid Response Team based on the client's manifestations.The nurse notifies the Rapid Response Team first.Vitamin K is not the antidote for this drug.Turning down the infusion rate will not be helpful if the client is still receiving any of the drug.

A Client Is Receiving an Infusion of Alteplase (Activase)for an Intra-Arterial