A nurse administers intravenous (IV) recombinant tissue-type plasminogen activator (rt-PA) to a client who was diagnosed with an ischemic stroke. On further evaluation, the nurse finds that the client still has persistent vessel occlusion. Which treatment strategy should the nurse expect the primary health-care provider to prescribe for the client?

Question

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If the client still has persistent vessel occlusion after receiving IV rt-PA, the primary health-care provider may prescribe a thrombectomy. Thrombectomy is a procedure in which a catheter is used to remove the blood clot in the affected blood vessel. This procedure is often used when other treatments have failed, and it is only effective for certain types of strokes. Endarterectomy is a surgical procedure in which the inner lining of an artery is removed to remove a blockage, but it is not typically used for stroke treatment. Dabigatran and dipyrimadole are medications used for stroke prevention or management, but they would not be effective for treating persistent vessel occlusion in a client who has already had an ischemic stroke.

A Nurse Administers Intravenous (IV) Recombinant Tissue-Type Plasminogen Activator (Rt-PA)