A client is receiving an infusion of tissue plasminogen activator (t-PA).The nurse assesses the client to be disoriented to person,place,and time.What action by the nurse is best?

Question

Quizplus · Accepted Answer

A change in neurologic status in a client receiving t-PA could indicate intracranial hemorrhage.The nurse should stop the infusion and notify the provider immediately.A full assessment,including pupillary responses and vital signs,occurs next.The nurse may or may not need to call a neurologist.

A Client Is Receiving an Infusion of Tissue Plasminogen Activator