Hematologic ATI
You are reviewing the history of a client who is about to start therapy with factor VIII to treat hemophilia A. Which of the following drugs thing client take should alert you to take should alert you to take further action?
-Aspirin
A nurse is teaching a client about taking ferrous sulfate to treat iron-deficiency anemia. Which of the following instructions should the nurse include?
-Eat iron-enriched foods -Spread the dosage across each day -Take the drug on an empty stomach -Increase dietary fiber
You are caring for a client who is receiving alteplase to dissolve a thrombus. Which of the following should you include in your care plan for this client? (Select all that apply.)
-Monitor temperature. -Limit venipunctures. -Assess neurologic status. -Apply pressure to oozing sites.
A client is about to start taking clopidogrel to prevent transient ischemic attacks. You should instruct the client to watch for and report which of the following adverse effects of this drug? (Select all that apply.)
-Petechiae -Weakness -Vision changes
The provider discharges the client to home with a prescription for warfarin. You should advise the client to do which of the following?
-avoid taking NSAIDs -brush his teeth with a soft toothbrush -ask the provider before taking over-the-counter drugs
A client is about to start taking ferrous sulfate to treat iron deficiency anemia. Which of the following instructions should you include when talking with the client about taking this drug?
-drink it through a straw -dilute it first with water -take it with food if needed
A client is about to start taking cynanocobalamin, a vitamin B12 preparation. You understand that this drug treats which is the following types of anemia?
-pernicious
You should monitor a client through continuous heparin therapy for which of the following adverse reactions
-thrombocytopenia -hypotension -deep vein thrombosis -fever
A nurse is administering epoetin intravenously to a client who has renal failure. Which of the following actions should the nurse take?
Administer via IV bolus over 1 to 3 min
A nurse is caring for a client who is experiencing an acute ischemic cerebrovascular event due to thrombus in cerebral vessel. Which of the following drugs should the nurse expect to administer?
Alteplase
A nurse is caring for a client who is about alteplase therapy to treat pulmonary embolism. Which of the following drugs should the nurse have available in the event of a severe adverse reaction?
Aminocaproic acid
Filgrastim
Chronic neutropenia
A nurse is preparing to administer a prescribed dose of desmopressin to a client who has hemophilia A. The client's laboratory results indicate that the client has a sodium level of 130 mEq/L. Which of the following actions should the nurse take?
Clarify the prescription with the provider
A nurse is caring for a client who has chronic stable angina. The nurse should identify that which of the following drugs inhibits the actions of adenosine diphosphate receptors (ADP) on platelets and can be prescribed to reduce the client's risk for myocardial infarction?
Clopidogrel
A nurse is monitoring a client following ferrous sulfate administration. The nurse should the client for which of the following adverse effects?
Constipation
A nurse is caring for a client who is about to begin therapy with recombinant factor IX to treat hemophilia B. The client asks the nurse about the risk of disease transmission with recombinant factor IX as compared with plasma-derived factor IX. The nurse should explain that recombinant factor IX therapy practically eliminates the risk for which of the following?
Creutzfeldt-Jakob disease
Heparin
Deep vein thrombosis
A nurse is caring for a client who is taking ferrous sulfate to treat iron deficiency anemia and develops toxicity. Which of the following drugs should the nurse expect to use to treat this complication?
Deferoxamine
A nurse is teaching a client who is starting treatment with warfarin. The nurse should plan to include information on which of the following topics to promote the effectiveness of the drug?
Dietary modifications
Alteplase
Dissolves blood clots
A client is about to start taking oprelvekin for thrombocytopenia. To assess for adverse effects of this drug, you should monitor which of the following carefully during drug therapy?
ECG
A nurse is caring for a client who has hemophilia A and is about to begin taking desmopressin to prevent bleeding. The nurse should monitor the client for which of the following adverse reactions?
Edema
A nurse is caring for a client who is taking filgrastim to treat neutropenia. The nurse should assess the client for which of the following adverse effects?
Enlarged spleen
A nurse is caring for a client who is about to begin factor VIII therapy to treat hemophilia A. When administering factor VIII, which of the following actions should the nurse take?
Have emergency equipment ready
A nurse is caring for a client who recently started alteplase therapy. The nurse should monitor the client for which of the following adverse effects?
Headache
Factor VIII
Hemophilia A
A nurse is reviewing the medication record of a client who is receiving alteplase following an acute myocardial infarction (MI). Which of the following medications should the nurse expect the client to be taking in addition to the alteplase?
Heparin
A nurse is caring for a client who is about to begin taking epoetin. An increase in which of the following laboratory values should indicate to the nurse that the therapy is effective?
Hgb
A nurse is caring for a client who has renal failure and is receiving epoetin. The nurse should monitor the client for which of the following adverse effects?
Hypertension
A nurse is caring for a client who is about to begin taking aspirin to reduce the risk of a cardiovascular event. The nurse should identify that the drug inhibits platelet aggregation by which of the following mechanisms?
Inhibiting cyclooxygenase action in platelets
Clopidogrel
Inhibits platelet aggregation
A client is about to start taking warfarin to prevent venous thrombosis. You should explain to the client that taking this drug initially requires daily blood samples to monitor the results of which of the following laboratory tests?
PT/INR
A nurse should identify that clopidogrel is contraindicated for clients who have which of the following conditions?
Peptic ulcer disease
Which of the following drugs should you have ready in case of heparin overdose?
Protamine
A nurse is monitoring a client who is undergoing anticoagulant therapy with heparin. Which of the following findings should nurse identify as a possible indication of hemorrhage?
Rapid pulse
Before administering I.V folic acid, you should explain to the client that this drug can cause which of the following adverse effect?
Rash
A nurse is caring for a client who is about to begin taking folic acid to treat megaloblastic anemia. The nurse should monitor which of the following laboratory values to determine therapeutic effectiveness?
Reticulocyte count
Filgrastim
Stimulates leukocyte production
A nurse is caring for a client who is taking clopidogrel to prevent stent restenosis. The nurse should monitor the client for which of the following adverse reactions?
Thrombocytopenia
A nurse is caring for a client who is scheduled for an outpatient surgical procedure and reports taking aspirin 81 mg daily, including this morning. The nurse should identify that this places the client at risk for which of the following complications?
Uncontrolled bleeding
A nurse should assess a client who has megaloblastic anemia for indications of which of the following vitamin deficiencies?
Vitamin B12
A nurse in an emergency department is assessing a client who has been taking warfarin and is experiencing rectal bleeding. Which of the following drugs should the nurse expect to administer to the client?
Vitamin K
While the client is receiving continuous I.V heparin, the provider prescribed oral warfarin. This is because:
Warfarin take 3-5 days to achieve therapeutic effects
A provider prescribes I.V heparin for a client who has DVT. Which of the following parameters should you monitor for in regard to determining if a therapeutic dose is being administered?
aPTT, 1.5 to 2 times the clients baseline
Folic acid
megaloblastic anemia
epoetin alfa
stimulates RBC production
