Difficulty: Medium
Average Score: 70%
Simulated
The nurse is caring for client who has had a stroke and who received tissue plasminogen activator(t-PA) 6 hours ago. The nurse identifies which of the following symptoms are indications of an intracerebral hemorrhage post thrombolytic therapy?
Correct answer
B
Rationale
Decline in neurological status and elevated blood pressure indicate intracerebral hemorrhage post-tPA, due to bleeding causing brain compression and compensatory hypertension.