Hematology Meds

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? A) fibrinogen B) PT/INR C) platelets D) aPTT

B) PT/INR

A nurse is caring for a client who takes warfarin 2.5 mg PO daily and has an INR of 6.2. The nurse should anticipate a prescription from the provider for which of the following medications? A) Protamine sulfate B) Fondaparinux C) Vitamin K D) Bivalirudin

C) Vitamin K

The provider discharges the client to home with a prescription for warfarin. You should advise the client to do which of the following? (SATA) A) avoid taking NSAIDS B) use a disposable razor C) brush his teeth with a soft toothbrush D) increase intake of dark green, leafy vegetables E) ask the provider before taking OTC drugs

A) avoid taking NSAIDS C) brush his teeth with a soft toothbrush E) ask the provider before taking OTC drugs

A nurse is caring for a client who has myocardial infarction 2 hours ago and is receiving alteplase. Which of the following findings should the nurse identify as an adverse effect of receiving as an adverse effect of receiving this medication? A) bleeding B) increase clot formation C) shortness of breathe D) blockage of the central venous catheter

A) bleeding

A nurse is planning to administer epoetin alfa to a client who has chronic kidney failure. Which of the following should the nurse plan to review prior to administering this medication. A) blood pressure B) temperature C) blood glucose levels D) total protein level

A) blood pressure

A nurse is teaching a client who has chemotherapy-induced anemia and a prescription for epoetin alfa. The nurse should instruct the patient to report which of the following findings as an adverse effects of epoetin alfa? A) hypertension B) leukocytosis C) bone pain D) neutropenia

A) hypertension

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? (SATA) A) monitor temperature B) reposition frequently C) limit venipuncture D) assess neurologic status E) apply pressure to oozing sites

A) monitor temperature C) limit venipuncture D) assess neurologic status E) apply pressure to oozing sites

A nurse is reviewing the medical record of a client. The medical administration record shows the client is taking aspirin. Which of the following events should the nurse except in the client's medical history? A) recent myocardial infarction B) hx of hemorrhagic stroke C) current outbreak of psoriasis D) hx of hypertensiion

A) recent myocardial infarction

You should monitor a client throughout continuous heparin therapy for which of the following adverse reactions. A) thrombocytopenia B) hypotension C) hypokalemia D) DVT E) fever

A) thrombocytopenia B) hypotension D) DVT E) fever

While the client is still receiving continuous IV heparin (enoxaparin), the provider prescribes oral warfarin. This is because... A) warfarin takes 3 to 5 days to achieve therapeutic effects B) IV heparin alone becomes ineffective after the first 1 to 2 days C) abrupt cessation of heparin therapy increases the risk for thrombocytopenia D) warfarin increases the risk for hemorrhage

A) warfarin takes 3 to 5 days to achieve therapeutic effects

A nurse is providing discharge teaching to a client who has venous thrombosis and a prescription for warfarin. Which of the following instructions should the nurse include in the teaching? A) Take ibuprofen as needed for headaches or other minor pains B) Carry a medical alert ID card C) Report to the laboratory weekly to have blood drawn for aPTT D) Increase intake of dark green vegetables

B) Carry a medical alert ID card

A providor prescribes IV heparin for this client/ Which of the following parameters should you monitor for in regard to determining if a therapeutic dose is being administered? A) INR, 2-3 times the client's baseline B) aPTT, 1.5-2 times the client's baseline C) Platelet count of 125,000/mm^3 D) PT 11 to 12.5 sec

B) aPTT, 1.5-2 times the client's baseline

A nurse is monitoring a client who takes aspirin daily. The nurse should identify which of the following manifestations as adverse effects. SATA A) hypertension B) coffee ground emesis C) tinnitus D) paresthesias of the extremities E) nausea

B) coffee ground emesis C) tinnitus E) nausea

A client is about to start taking liquid ferrous sulfate to treat iron deficiency anemia. Which of the following instructions should you include when talking with the client about this drug? (SATA) A) swish it in your mouth before swallowing it B) drink it through a straw C) do not rinse mouth after taking it D) dilute it first with water E) take it with food if needed

B) drink it through a straw D) dilute it first with water E) take it with food if needed

A nurse is monitoring a client who is receiving epoetin alfa for adverse effects. The nurse should identify which of the following findings as an adverse effect of this medication? SATA A) leukocytosis B) hypertension C) edema D) blurred vision E) headache

B) hypertension E) headache

A nurse is reviewing the lab results for a client who has a prescription for filgrastim. An increase in which of the following values indicates a therapeutic effect of this medication? A) erythrocyte count B) neutrophil count C) lymphocyte count D) thrombocyte count

B) neutrophil count

A nurse is planning to administer IV alteplase to a client. Which of the following interventions should the nurse plan to take? A) administer IM enoxaparin along with the alteplase dose B) obtain the client's weight C) administer aminocaproic acid IV prior to alteplase infusion D) prepare to administer alteplase within 8 hr of manifestation onset

B) obtain the client's weight

A nurse is reviewing the laboratory values of a client who is receiving a continuous IV heparin infusion and has an aPTT of 90 sec. Which of the following actions should the nurse prepare to take? A) administer vitamin K B) reduce the infusion rate C) give the client a low dose aspirin D) request an INR

B) reduce the infusion rate

A nurse is caring for a client who has a prescription for aspirin. The nurse should monitor the client for which of the following adverse effects? A) insomnia B) hypotension C) bleeding D) constipation

C) bleeding

A nurse is providing teaching to a client who has chronic kidney failure with an AV fistula for hemodialysis and a new prescription for epoetin alfa. Which of the following therapeutic effects of epoetin alfa should the nurse include in the teaching? A) reduce blood pressure B) inhibits clotting fistula C) promotes RBC production D) stimulates growth of neutrophils

C) promotes RBC production

A nurse is administering subcutaneous heparin to a client who is at risk for deep vein thrombosis. Which of the following actions should the nurse take? A) Administer the medication into the client's abdomen B) Inject the medication into a muscle C) Massage the site after administering the medication D) Use a 22 gauge needle to administer the medication

A) Administer the medication into the client's abdomen

A nurse is assessing a client who has chronic neutropenia and has been receiving filgrastim. Which of the following actions should the nurse take to assess for an adverse effect of filgrastim? A) assess for bone pain B) assess for right lower quadrant pain C) auscultate for crackles in the bases of the lungs D) auscultate the chest to listen for a heart murmur

A) assess for bone pain

A client is about to start taking aspiri to prevent transient ischemic attacks. You should instruct the client to watch for and report which of the following adverse effects of this drug? (SATA) A) petechiae B) tinnitus C) diaphoresis D) weakness E_ vision changes

A) petechiae D) weakness E_ vision changes

A nurse is caring for a client who is 12 hr postpartum. Which of the following interventions should the nurse implement? A) Encourage the client to use a hot pack on the perineum B) Administer ferrous sulfate orally C) Help the client apply a breast binder D) Administer Rh immune globulin

B) Administer ferrous sulfate orally

A nurse is teaching a client who has a new prescription for warfarin. Which of the following statements should the nurse identify as an indication that the client understands the instruction? A) "I'll use a safety razor to shave each day." B) "I'll be sure to eat lots of spinach." C) "I'll avoid contact sports like football." D) "I'll take ibuprofen if I get a headache."

C) "I'll avoid contact sports like football."

A nurse is preparing to administer warfarin to a client who has a new onset of atrial fibrillation. The client asks the nurse, "What should this medication do?" Which of the following responses should the nurse make? A) "It helps your heart return to a normal rhythm." B) "It dissolves blood clots." C) "It can reduce your risk of having a stroke." D) "It helps to prevent bleeding in atrial fibrillation."

C) "It can reduce your risk of having a stroke."

A nurse is teaching a client who has a new prescription for enteric-coated aspirin as stroke prophylaxis. The client asks the nurse why the provider prescribed an enteric-coated medication. Which of the following responses should the nurse give? A) The enteric coating allows a lower dosage to be given. B) Enteric coating medications have better absorption in the body. C) Enteric coated medications cause less gastric irritation. D) The enteric coating provides a steady release of the medication over time.

C) Enteric coated medications cause less gastric irritation.

A nurse is caring for a client who is taking warfarin. Which of the following laboratory values should the nurse recognize as an effective response to the medication? A) Hct 45% B) Hbg 15 g/dL C) aPTT 35 seconds D) INR 3.0

D) INR 3.0

A nurse is reviewing the laboratory reports of a client who has been taking warfarin for atrial fibrillation. Which of the following results should the nurse report to the provider immediately? A) PT 18 seconds B) Platelet count 160,000/mm^3 C) Hct 43% D) INR 5.5

D) INR 5.5

Which of the followinng drugs should you have ready in case of heparin overdose? A) Aminocaproic acid B) Deferoxamine C) Vitamin K D) Protamine

D) Protamine

A nurse is preparing to administer filgrastim for the first time to a client who has just undergone a bone marrow transplant. Which of the following actions should the nurse take? A) administer IM in a large muscle mass to prevent injury B) ensure that the medication is refrigerated until just prior to administration C) shake vial gently to mix well before withdrawing dose D) discard vial after removing one dose of the medication

D) discard vial after removing one dose of the medication

A nurse is caring for a client who is 12 hrs post op following a total hip arthroplasty. Which of the following medications should the nurse anticipate administering to this client to prevent deep vein thrombosis (DVT)? A) aspirin B) warfarin C) ticagrelor D) enoxaparin

D) enoxaparin