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Question # 15

A 68-year-old patient is evaluated in the emergency department for acute focal neurological deficits starting 2 hours ago. The patient has a history of bleeding gastric ulcer treated successfully 3 years ago, with no active gastrointestinal bleeding symptoms. Non-contrast head CT is negative for hemorrhage. How should the SCRN nurse evaluate this prior history regarding intravenous alteplase eligibility?

Options:

A.

It represents a relative contraindication (exclusion criterion) that requires clinical judgment, but remote, healed gastrointestinal ulcers do not automatically bar treatment if active bleeding is absent.

B.

It is an absolute contraindication that permanently disqualifies the patient from ever receiving thrombolytic therapy.

C.

It requires immediate prophylactic total gastrectomy prior to starting alteplase infusion.

D.

It has no relevance and can be completely disregarded during hyperacute screening.

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SCRN Overview

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

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