After administration of rtPA, which monitoring task is a priority?

• A. Monitor neurological status
• B. Check creatinine
• C. Check skin temperature
• D. Inspect hair color

Answer: (A)

Monitoring neurological status is essential after rtPA because this therapy dissolves clots but increases the risk of intracranial hemorrhage. Early changes in mental status, new focal deficits, or alterations in consciousness can signal a dangerous bleed or reperfusion injury, and catching these changes promptly allows urgent intervention. Frequent neuro checks provide a direct, real-time gauge of brain function and help guide immediate decisions, such as adjusting treatment or initiating bleeding precautions. Other monitoring tasks like checking creatinine or skin temperature are less critical for detecting the most dangerous rtPA complication and do not offer the same early warning signal. Prioritizing neuro monitoring helps protect the patient from rapid and potentially life-threatening deterioration.