Practice Quiz

Vascular Access Exam Prep

Category - Vascular Access Practice Test

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A patient is receiving thrombolytic therapy to treat a large clot that has formed as a pulmonary embolism while on the post-surgical unit. The patient begins to bleed profusely from the nose and the intravenous line. What is the nurse’s response?
  1. Apply direct pressure to major sites of bleeding to induce clotting.
  2. Increase the rate of fluid and electrolytes while decreasing the thrombolytic therapy.
  3. Apply cold compresses to bleeding sites and assess respiratory function.
  4. Stop the thrombolytic therapy completely and notify the physician.
Explanation
Answer: D-In this situation, the nurse should stop the thrombolytic therapy completely and notify the physician. Thrombolytic therapy works to break up a large clot that is causing breathing problems. However, persistent bleeding with this therapy can lead to life-threatening hemorrhage.
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