[Answered]: Mr

Mr. Martinez’s chest pain is “5” on a 0 to 10 pain scale after receiving 3rd dose of nitroglycerin along with morphine dose x1. Metoprolol 4 mg IV bolus given x2. Vital Signs: blood pressure 148/88 mm Hg, heart rate 120/min, respiratory rate 22/min. Client’s oxygen saturation is 93% on oxygen at 2 L/min via nasal cannula. Sinus tachycardia with ST elevation on heart monitor. Troponin level is 1.0 ng/mL, which indicate myocardial infarction. Client’s anxiety has improved with morphine. Provider spoke with client about condition and treatment needed. Provider prescribed to initiate thrombolytic therapy. The nurse is preparing to administer thrombolytic therapy to the client. Which of the following should the nurse identify is a contraindication prior to administering thrombolytic therapy? (Select all that apply.)