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    HESI RN EXIT PROCTORED EXAMQuestion 96
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    HESI RN EXIT PROCTORED EXAM

    Twenty minutes after the onset of symptoms, an adult client presents to the emergency department with slurred speech and right-sided weakness. After a computerized tomography (CT) scan reveals a non-hemorrhagic stroke, the nurse administers alteplase. Which assessment finding warrants immediate intervention?

    Explanation & Rationale

    A. Frequent premature ventricular contractions: While abnormal heart rhythms are a concern, they may not warrant immediate intervention in this context unless they are causing significant hemodynamic instability. B. Paroxysmal supraventricular tachycardia: This cardiac dysrhythmia may require intervention but is not directly related to the administration of alteplase. C. Lower extremity edema: Lower extremity edema may indicate venous insufficiency or other underlying conditions but is not directly related to the administration of alteplase. D. Headache with blurred vision: This could be indicative of worsening cerebral edema or increased intracranial pressure, which are potential complications of alteplase administration and require immediate intervention.

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