What is the expected action for a nurse when a client has a myocardial infarction and is receiving thrombolytic therapy?

The expected action for a nurse when a client is receiving thrombolytic therapy for a myocardial infarction involves monitoring for signs of bleeding. Thrombolytic therapy works by dissolving blood clots that are obstructing coronary arteries, thereby restoring blood flow to the heart muscle. However, this increased risk of bleeding is a significant concern, as it can occur in various areas, including internal organs and at venous sites due to the systemic nature of these medications.

Monitoring for any signs of bleeding, such as unexplained bruising, hematuria, gastrointestinal bleeding, or any changes in vital signs that could indicate loss of blood volume, is crucial in ensuring patient safety. Timely identification of bleeding can lead to prompt intervention, which can be lifesaving.

While monitoring cardiac rhythm continuously, assessing for chest pain relief, and being aware of nausea are important aspects of patient care, they are secondary to ensuring that the patient is not experiencing serious complications from the thrombolytic therapy, which primarily revolves around the risk of hemorrhage.