Question # 27

A 72-year-old patient is brought to the emergency department with acute stroke symptoms. The exact time of symptom onset is confirmed as 3 hours and 30 minutes ago. Non-contrast head CT is negative for hemorrhage. The patient meets all other inclusion criteria for intravenous alteplase. What is the appropriate nursing action?

Options:

A.

Initiate intravenous alteplase infusion immediately because the patient is within the approved 4.5-hour therapeutic window.

B.

Withhold alteplase immediately because intravenous thrombolysis is strictly restricted to the first 60 minutes post-stroke.

C.

Wait for 24 hours before considering any acute reperfusion therapy.

D.

Administer oral aspirin instead of alteplase to avoid all bleeding risks.

Viewing question 27 out of 47 questions
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