NR584PN_Quality and Safety for the Advanced Practice Nurse_week 6 Discussion_Continuous

A patient presents to the ER with stroke symptoms and was “last known well” yesterday evening before bed. He is found to have an infarct in the MCA. HR 90, BP 162/89, pulse ox 91% on room air. Which statement to the family made by the nurse practitioner is correct regarding fibrinolytic therapy for this patient? O “Fibrinolytic therapy has to be administered within 4.5 hours of the patient’s “last known well.” Since the patient was last seen normal yesterday at bed, he is not a candidate.” O “The patient just missed the window for fibrinolytic therapy, as it must be given within 12 hrs of “last known well.” O “Once we get the patient’s blood pressure to normal, we will administer fibrinolytic therapy.” O “We can administer half the dose of fibrinolytic therapy.”

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