ATI RN
ATI Nur211 Capstone Questions
Extract:
Question 1 of 5
The emergency department nurse is preparing an infusion of IV alteplase for a client who suffered a cerebrovascular accident (CVA). Which of the following statements is accurate about the administration of alteplase?
Correct Answer: B
Rationale: The correct answer is B. Alteplase is administered as a bolus over 1-2 minutes, followed by a continuous infusion over 60 minutes. This rapid administration is crucial for the drug's thrombolytic action to dissolve the clot causing the CVA. Giving it as a bolus over 3 minutes (option
B) is not accurate, as it should be given over a shorter time frame. Option A is incorrect because alteplase can be given to patients on anticoagulant or antiplatelet therapy with caution. Option C is incorrect as the recommended time for administration is within 3 hours of symptom onset, not 90 minutes after admission. Option D is incorrect as the maximum dosage of alteplase is 0.9 mg/kg, not a fixed 120 mg dose.
Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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