Difficulty: Medium
Average Score: 69%
Simulated
The nurse is caring for a client receiving intravenous (IV) alteplase for a cerebrovascular accident (CVA). The nurse understands that this medication has reached its therapeutic effect when the client is assessed to have
Correct answer
A
Rationale
Alteplase is a thrombolytic used to dissolve clots in acute ischemic stroke, improving neurological function, as indicated by an increased Glasgow Coma Scale. Unintelligible speech, bleeding, and vital sign changes are not therapeutic effects.