Which nursing problem should be selected for a client who is receiving thrombolytic infusions for treatment of an acute myocardial infarction (AMI)?

A. Deficient knowledge related to a new medication regimen: While client education is important, it is not the most immediate concern during thrombolytic therapy. Safety risks such as bleeding take priority during the acute phase of care. B. Activity intolerance related to ischemia: Activity may be limited following an AMI, but thrombolytic therapy is administered while the client is on bedrest. Managing activity intolerance becomes more relevant during recovery and rehabilitation, not during acute treatment. C. Risk for injury related to effects of thrombolytics: Thrombolytic agents carry a high risk for bleeding, including potentially life-threatening intracranial hemorrhage or gastrointestinal bleeding. Monitoring for signs of bleeding is critical and the most relevant nursing problem. D. Ineffective breathing pattern related to adverse drug effects: Thrombolytics are not commonly associated with respiratory compromise. Unless the client has pulmonary edema or another respiratory condition, this diagnosis is not supported by the effects of thrombolytic therapy.