A patient with symptoms of myocardial infarction has received alteplase within the needed time-frame. What nursing intervention should the nurse implement to help keep the patient safe? If bleeding occurs at IV site, hold pressure 5 minutes. Implement strict bed rest and pad the side rails Place a fall precautions armband on the patient Insert a foley catheter so patient will not need to go to bathroom

Implement strict bed rest and pad the side rails Attach a fall caution bracelet to the patient

Explanation:

In addition, nitrites should be administered to prevent a recurrence of this acute myocardial infarction, perform cardiovascular studies and evaluate the administration of anticoagulants in the event that the etiology has been a transient thrombosis or embolus.

answer: b. complete secondary assessment (detailed physical exam).

after you finished the primary assessment, you must proceed with the assessment by performing a complete detailed physical examination.

this secondary assessment includes a focused on patient’s history, vital signs and a specific and rapid examination of the entire body especially on the injuries acquired from the motor vehicle accident and the patient’s medical complaint.