A nurse is reevaluating a client receiving IV fibrinolytic therapy. Which of the following patient findings requires immediate intervention by the nurse?

A nurse is reevaluating a client receiving IV fibrinolytic therapy. Which of the following patient findings requires immediate intervention by the nurse?


a) Chest pain: 2 of 10 (1-to-10 pain scale)

b) Minimal oozing of blood from the IV site

c) Altered level of consciousness

d) Presence of reperfusion dysrhythmias



Answer: Altered level of consciousness