The HCP in the emergency department has prescribed alteplase (Activase) for a client with complaints of new onset of slurred speech, difficulty swallowing, and paralysis of the left arm. Which...

The HCP in the emergency department has prescribed alteplase (Activase) for a client with complaints of new onset of slurred speech, difficulty swallowing, and paralysis of the left arm. Which situations should the nurse question administering the medication? Select all that apply

1. The client has the comorbid condition of congestive heart failure.

2. The client had abdominal surgery 6 weeks ago for a bleeding ulcer.

3. The client has not had a computerized axial tomography scan done.

4. The client is taking the anticoagulant, warfarin (Coumadin).

5. The client has a history of deep vein thrombosis with pulmonary embolism