Difficulty: Medium
Average Score: 67%
Simulated
The nurse is caring for a client receiving thrombolytic therapy following an acute myocardial infarction (MI). Which nursing problem should the nurse identify as priority for this client?
Correct answer
A
Rationale
Thrombolytic therapy increases bleeding risk, making the risk for injury due to bleeding the priority, as it can lead to severe complications like hemorrhage, requiring immediate monitoring and intervention.