ATI Nurs 180 Pharmacology Exam | Nurselytic

Correct Answer: B

Rationale: The correct answer is B: Internal bleeding. Alteplase is a thrombolytic medication that works by breaking down blood clots. One of the major side effects of thrombolytic therapy is the risk of internal bleeding due to the medication's ability to break down clots, which can lead to bleeding in various parts of the body. The nurse should closely monitor the client for signs of bleeding, such as bruising, bleeding gums, blood in urine or stool, and decreased blood pressure.

A: Hypokalemia is not a common side effect of alteplase.
C: Pancytopenia is a decrease in all three blood cell types (red blood cells, white blood cells, and platelets) and is not typically associated with alteplase.
D: Hypertension is not a common side effect of alteplase.


Therefore, B is the correct answer as internal bleeding is a significant side effect to monitor for in a client receiving altepl

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