A common complication of using thrombolytic drugs S

Nausea

Hypertension

Fever

Bleeding

Answer and Explanation

The Correct Answer is D

A) Nausea
Nausea is not the most common or primary complication associated with thrombolytic drugs. While some patients may experience nausea as a minor side effect, it is not the hallmark complication of thrombolytic therapy. Thrombolytic drugs are used to dissolve blood clots, and their primary concern is related to bleeding due to their potent effect on clotting factors.

B) Hypertension
Hypertension (high blood pressure) is not typically associated with thrombolytic therapy. In fact, thrombolytic drugs are more likely to cause hypotension (low blood pressure) in some cases, especially if bleeding complications lead to significant blood loss.

C) Fever
Fever can occur as a side effect of many medications or conditions, but it is not a common or direct complication of thrombolytic therapy. Fever may occasionally arise as a response to infection, inflammation, or even the breakdown of clots, but it is not a primary concern when using thrombolytic drugs.

D) Bleeding
Bleeding is the most common and serious complication associated with thrombolytic drugs. These medications work by breaking down fibrin, the protein responsible for clot formation, to dissolve blood clots. While this is beneficial in conditions like myocardial infarction, stroke, or pulmonary embolism, it increases the risk of bleeding throughout the body. Bleeding can occur at various sites, including internal bleeding, gastrointestinal bleeding, and bleeding at the injection site.

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Correct Answer is B

Explanation

A) Neutropenia
Neutropenia refers to an abnormally low level of neutrophils, a type of white blood cell. While certain medications, such as chemotherapy agents and some antipsychotic drugs, can cause neutropenia, atenolol (a beta-blocker) is not typically associated with this side effect. Atenolol primarily affects the cardiovascular system by reducing heart rate and blood pressure, and it is not known to cause significant changes in white blood cell counts.

B) Bradycardia
Bradycardia, or a slower-than-normal heart rate, is a well-known and common adverse effect of beta-blockers, including atenolol. Beta-blockers work by blocking beta-adrenergic receptors, which decreases the heart rate and the force of contraction, as well as lowering blood pressure. In some individuals, this can lead to excessively low heart rates, which could be dangerous if the heart rate drops too much. Bradycardia can lead to symptoms such as dizziness, fainting, or fatigue, and may require dose adjustments or discontinuation of the medication

C) Anemia
Anemia, which is a condition characterized by a low red blood cell count or low hemoglobin levels, is generally not a common adverse effect of atenolol. While certain medications like some chemotherapeutic agents, NSAIDs, or antibiotics may cause anemia due to their effects on the bone marrow or by causing gastrointestinal bleeding, atenolol is not typically linked to this side effect.

D) Hypokalemia
Hypokalemia (low potassium levels) is typically associated with the use of diuretics or other medications that cause the kidneys to excrete more potassium, such as some classes of antibiotics and corticosteroids. However, atenolol, being a beta-blocker, does not directly affect potassium levels.

A. 0.5 mL sub-cut B. 1 mL Stat C. 4 mL IV D. 2 mL IM

Correct Answer is D

Explanation

Rationale:

Ordered Dose:

The prescription is for 12 mg of Celestone Soluspan (betamethasone) IM every 24 hours for 2 doses.

Available Dose (from label): The vial contains 6 mg/mL.

Dosage Calculation: Using the formula:

Volumetoadminister(mL) = Availableconcentration(mg/mL) / Ordereddose(mg)

Volumetoadminister = 12mg / 6mg/mL = 2 mL

Administration Route:

The order specifies IM (intramuscular) administration, aligning with the label instructions.

Thus, 2 mL IM is the correct dosage to administer.

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A common complication of using thrombolytic drugs S

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse caring for a client who has a new prescription for atenolol. For which of the following adverse effects should the nurse monitor the client?

Correct Answer is B

Explanation

Calculate the dosage using the label below. Round to the nearest tenth place. Order: Celestone, Soluspan (betamethasone) 12 mg IM q24 hr. for 2 doses. Available

Correct Answer is D

Explanation

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