A client with a large pulmonary embolism is receiving alteplase (Activase).The nurse notes frank red blood in the Foley catheter drainage bag.What is the nurse's first action?

Question

Quizplus · Accepted Answer

Alteplase is a fibrinolytic agent that dissolves formed clots.The drug has an impact on clots outside the pulmonary embolism,and the client is at great risk for hemorrhage and shock.The nurse should realize the potential for a severe problem and should call the health care provider immediately for orders.The other actions would not be appropriate first actions in this situation.

A Client with a Large Pulmonary Embolism Is Receiving Alteplase