A nurse is reviewing the contraindications for thrombolytic therapy for a client with a peripheral arterial occlusion. Which of the following conditions would make the client ineligible for this therapy? (Select all that apply.)<\/p>\n\n\n\n
A.
History of peptic ulcer disease<\/p>\n\n\n\n
B.
Recent dental extraction<\/p>\n\n\n\n
C.
Chronic atrial fibrillation<\/p>\n\n\n\n
D.
Pregnancy<\/p>\n\n\n\n
E.
Diabetes mellitus.<\/p>\n\n\n\n
The correct answer and Explanation is :<\/strong><\/mark><\/p>\n\n\n\n The correct answers are A. History of peptic ulcer disease<\/strong>, B. Recent dental extraction<\/strong>, and D. Pregnancy<\/strong>.<\/p>\n\n\n\n Explanation:<\/strong><\/p>\n\n\n\n Thrombolytic therapy is used to dissolve clots in conditions such as peripheral arterial occlusion. However, it carries significant bleeding risks, so contraindications must be carefully assessed. Several conditions increase the risk of bleeding and would make a client ineligible for this therapy.<\/p>\n\n\n\n Other options:<\/strong><\/p>\n\n\n\n By considering these contraindications, healthcare professionals aim to balance the benefits of dissolving a clot against the potential for life-threatening bleeding complications.<\/p>\n","protected":false},"excerpt":{"rendered":" A nurse is reviewing the contraindications for thrombolytic therapy for a client with a peripheral arterial occlusion. Which of the following conditions would make the client ineligible for this therapy? (Select all that apply.) A.History of peptic ulcer disease B.Recent dental extraction C.Chronic atrial fibrillation D.Pregnancy E.Diabetes mellitus. The correct answer and Explanation is : […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-140850","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/140850","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=140850"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/140850\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=140850"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=140850"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=140850"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}\n
Clients with a history of peptic ulcer disease are at increased risk of gastrointestinal bleeding, especially when treated with thrombolytics, which can exacerbate the condition by breaking down protective clots or promoting further bleeding in ulcerated areas.<\/li>\n\n\n\n
Any recent surgical procedure, including dental extractions, increases the risk of bleeding. The thrombolytic drugs could disrupt the healing process, leading to hemorrhage at the surgical site.<\/li>\n\n\n\n
Pregnancy is another contraindication due to the increased risk of both maternal and fetal bleeding. Thrombolytics can cross the placenta, and the mother\u2019s physiological changes during pregnancy (such as increased blood volume and altered clotting mechanisms) heighten the bleeding risk.<\/li>\n<\/ol>\n\n\n\n\n
While atrial fibrillation increases the risk of thromboembolism, it is not a contraindication for thrombolytic therapy. In fact, thrombolytics may be beneficial in cases where clots form due to atrial fibrillation. Anticoagulants are often used to manage this condition, but if a clot forms and causes an occlusion, thrombolytics may be considered.<\/li>\n\n\n\n
Diabetes, although it increases the risk of vascular disease, does not independently contraindicate thrombolytic therapy. As long as there are no other bleeding risks, a diabetic client may still receive thrombolytic treatment.<\/li>\n<\/ol>\n\n\n\n