Acute Coronary Syndrome and MI Care · NCLEX Exam

Which sign should the nurse recognise as a major complication for a patient receiving thrombolytic therapy post-MI?

  1. Mild transient headache that resolves spontaneously
  2. Slurred speech with a sudden drop in blood pressure
  3. Stable vital signs with relief of ischaemic chest pain
  4. Slight nausea that settles with antiemetics
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Correct answer: Slurred speech with a sudden drop in blood pressure

Thrombolysis carries the risk of intracranial haemorrhage; sudden neuro change and hypotension must be treated as an emergency.

Difficulty: Medium Question 12 of 20

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