Which of the following is a contraindication for the use of Alteplase?
Peptic ulcer
Hypertension
Ischemic stroke within the past 3 months
Active internal bleeding
The Correct Answer is D
A. Peptic ulcer is a relative caution but not an absolute contraindication; risk of bleeding should be considered.
B. Hypertension is a relative caution; severe uncontrolled hypertension increases bleeding risk, but controlled hypertension is not an absolute contraindication.
C. Ischemic stroke within the past 3 months is a relative contraindication; caution is needed due to increased risk of hemorrhagic conversion.
D. Active internal bleeding is an absolute contraindication for alteplase because it is a thrombolytic agent. Administering it in the presence of active bleeding can lead to life-threatening hemorrhage.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Weight gain is not a typical adverse effect of ibuprofen; the client should be monitored for other side effects instead.
B. Regular eye exams are not required for ibuprofen therapy; this is more relevant for medications like hydroxychloroquine or corticosteroids.
C. Antacids can interfere with the absorption of ibuprofen, so it is recommended to take ibuprofen at least 2 hours before or after antacids to ensure proper effectiveness.
D. Alcohol can increase the risk of gastrointestinal bleeding with ibuprofen, so clients should be advised to avoid or limit alcohol entirely rather than consume it regularly, even in small amounts.
Correct Answer is D
Explanation
A. Hypertension is an indication for atenolol, not a contraindication; it is commonly prescribed to lower blood pressure.
B. Diabetes mellitus is not an absolute contraindication, though beta-blockers like atenolol can mask signs of hypoglycemia; caution is advised.
C. Glaucoma is not a contraindication; some beta-blockers are even used topically to treat glaucoma.
D. Exercise-induced asthma or any form of asthma is a contraindication for non-selective beta-blockers like atenolol because it can cause bronchoconstriction and precipitate asthma attacks, posing a serious risk to the client.
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