hematological w/pharm

A client with no history of heart disease has experienced an acute myocardial infarction and been given thrombolytic therapy with tissue plasminogen activator (tPA). The nurse interprets that the client is likely experiencing a complication of this therapy if which occurs?

tarry stools

The nurse is caring for a client with a diagnosis of aplastic anemia. Which are the most likely signs/symptoms associated with aplastic anemia? Select all that apply.

fatigue infection petechiae - busted blood vessels shortness of breath

A client in renal failure is receiving epoetin alfa. The nurse should monitor the client for which adverse effect of this medication?

hypertension

A client with sickle cell disease has been admitted to the hospital complaining of a sudden onset of severe pain in the extremities, abdomen, back, and chest. Which interventions should the nurse expect to be included in the care of the client? Select all that apply.

Administer oxygen per nasal cannula. Administer the prescribed opioid analgesic. Encourage the client to keep extremities extended. Hydrate the client with 0.9% normal saline 125 mL/hr intravenously.

Enoxaparin sodium is prescribed for the client following hip replacement surgery. The nurse prepares to have which available in the event that an overdose of the medication occurs?

Protamine sulfate

Which test should the nurse expect to have done for a client suspected of having pernicious anemia?

Schilling Test

The nurse is reviewing the laboratory results of a client receiving chemotherapy. The nurse prepares to initiate neutropenic precautions when the nurse notes which laboratory result?

WBC count of 3000

The nurse is reinforcing instructions to a client with iron deficiency anemia about eating a diet with iron-rich foods. Which food sources should the nurse include in the discharge teaching plan of a client with iron deficiency anemia? Select all that apply.

liver and eggs

A client with chronic kidney disease is receiving ferrous sulfate. The nurse should monitor the client for which common side effect associated with this medication?

constipation

A client is admitted to the hospital with vitamin B12 deficiency. When taking the client's history, which symptoms should the nurse expect the client to report? Select all that apply.

muscle weakness difficulty in walking numbness in hands

antidote for heparin

protamine sulfate

A client has been diagnosed with disseminated intravascular coagulation (DIC). Which laboratory tests should the nurse anticipate being prescribed? Select all that apply.

d-dimer hemoglobin Prothrombin time

The nurse is caring for a client with thrombocytopenia. Which data should the nurse monitor for related to this condition? Select all that apply.

purpura - a rash of purple spots on the skin caused by internal bleeding from small blood vessels. Ecchymoses - a discoloration of the skin, typically caused by bruising platelets count less than 150k

The nurse reinforces instructions to a pregnant client regarding the administration of iron. The nurse determines that the teaching is effective if the client states that she will take the iron with which food items?

tomato juice

The nurse is assisting in preparing a diet plan for a client who is taking the anticoagulant, warfarin. The nurse instructs the client to limit which food from the diet?

Broccoli

Which food sources should the nurse include in the discharge teaching plan of a client with vitamin B12 deficiency anemia? Select all that apply.

Eggs Liver Red Meats

The nurse is caring for a client with a suspected diagnosis of aplastic anemia. Which test should the nurse anticipate to be performed to confirm the diagnosis?

bone marrow aspiration

The nurse is doing discharge teaching with a client who has sickle cell disease. The nurse reinforces instructions to the client to avoid which factors that could precipitate a sickle cell crisis? Select all that apply.

infection emotional stress

A client has experienced several episodes of sickle cell crisis. Which reinforced instructions should be included in the client's teaching plan to prevent recurrence? Select all that apply.

wear shoes and socks when walking outside to prevent damage to feet.