A client has received thrombolytic therapy after an ST segment myocardial infarction (STEMI). A half-hour later, the nurse notices frequent PVCs. The most appropriate action by the nurse is to
A) administer lidocaine per the dysrhythmia protocol.
B) document the finding and conclude the therapy worked.
C) prepare to send the client for emergent PTCA.
D) request an order for an anxiolytic medication.

Question

Quizplus · Accepted Answer

Successful reperfusion of the coronary arteries is evidenced by return of the ECG changes to normal; relief of chest pain; presence of reperfusion dysrhythmias, usually sudden onset of frequent premature ventricular contractions (PVCs) or short runs of PVCs; and a rapid, early peak of CK-MB isoenzyme (washout). The physician should be notified of any changes in the client status.

A Client Has Received Thrombolytic Therapy After an ST Segment