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Question # 13

A 70-year-old patient with an acute ischemic stroke is being screened for intravenous alteplase administration. The patient's medical history reveals a mild ischemic stroke three years ago with complete recovery, and well-controlled diabetes mellitus. How does a remote prior stroke combined with diabetes affect alteplase eligibility?

Options:

A.

It is an absolute contraindication that bars the patient from receiving thrombolysis.

B.

It represents a relative contraindication (exclusion criterion) requiring careful clinical risk-benefit evaluation, but does not automatically disqualify the patient if within the 3-hour window (or approved 4.5-hour window).

C.

It completely eliminates all bleeding risks associated with thrombolytic therapy.

D.

It mandates doubling the standard alteplase dose to overcome prior brain injury.

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SCRN Overview

Name Stroke Certified Registered Nurse (SCRN) Examination
Code SCRN
Vendor Nursing
Certification American Board of Neuroscience Nursing (ABNN)

SCRN Questions