A client who has just experienced a pulmonary embolism is administered alteplase (Activase). Which of the following side effects associated with this medication would the nurse assess for?
Hypokalemia
Internal bleeding
pancytopenia
Hypertension
The Correct Answer is B
A. Hypokalemia is not a common side effect of alteplase; instead, it may result from other factors.
B. Internal bleeding is a significant risk associated with thrombolytics like alteplase, as they promote the breakdown of clots but can also affect hemostasis.
C. Pancytopenia is not directly associated with alteplase use; it may occur with other medications or conditions.
D. Hypertension is not a common side effect of alteplase; instead, blood pressure may fluctuate but is not typically increased as a direct result of the medication.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Calcium channel blockers primarily decrease heart rate and contractility, not increase them.
B. While they can indirectly improve oxygen supply by reducing myocardial oxygen demand, they do not directly increase systemic oxygen.
C. This option accurately describes the mechanism of action of calcium channel blockers, which decrease heart contractility and conduction through the AV node, helping to manage dysrhythmias.
D. Calcium channel blockers do not act on beta cells; they specifically inhibit calcium influx into cardiac and vascular smooth muscle cells.
Correct Answer is C
Explanation
A. Doxazosin is an alpha-1 blocker that can be used for hypertension but is not a first-line option.
B. Carvedilol is a beta-blocker used in heart failure and post-MI but is not the first choice for initial hypertension treatment.
C. Lisinopril, an ACE inhibitor, is widely recognized as a first-line treatment for hypertension due to its effectiveness and favorable side effect profile.
D. Clonidine is generally not considered a first-line treatment for hypertension due to potential side effects and the availability of more effective alternatives.
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