Hematology Meds exam 3
· 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
folic acid-->
Megaloblastic anemia
filgrastim -->
chronic neutropenia
Clopidogrel-->
inhibits platelet aggregation
Epoetin alfa-->
stimulates RBC production
A client is about to start taking oprelvekin for thrombocytopenia. To access for A/V effects of this drug, you should monitor for which of the following carefully during drug therapy? A. Liver function. B. Hearing. C. ECG. D. Level of consciousness.
The correct answer is C.
The 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 taking this drug? Select all that apply. A. Swish it in your mouth before swallowing it. B. Drink it through a straw. C. Do not rinse your mouth out after taking it. D. Dilute it first with water. E. Take it with food if needed.
The correct answers are B D and E.
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 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 A/V effects? SATA A. PETECHAIE B. TINNITUS C. DIAPHORESIS D. WEAKNESS E. VISION CHANGES
A, D, & E
While the client is still receiving continuous IV Heparin the provider prescribes oral War friend. This is because: A. Warfarin takes 3 to 5 days to achieve therapeutic effect. B. IV Heparin alone becomes ineffective after the first one to two days. C. Abrupt cessation of Heparin therapy increases the risk of thrombocytopenia. D. Warfarin increases the risk for hemorrhage.
A. Warfarin takes 3 to 5 days to achieve therapeutic effect.
· 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 right event due to a thrombus in a cerebral vessel. Which of the following drugs should the nurse expect to administer?
Alteplase
· A nurse is caring for a client who is about to begin 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
· A nurse is preparing to administer a prescribed dose of desmopressin to a client who has hemophilia A. The client's lab results indicate that the client has a sodium level of 130 mEq/L. Which of the following actins should the nurse take?
Clarify the prescription with the provider.
· A nurse is monitoring a client following ferrous sulfate administration. The nurse should monitor the client for which of the following adverse effects?
Constipation
You're a caring for a client who is receiving Alteplase to dissolve a thrombosis. Which of the following should you include in your plan of care for this client? Select all that apply. A. Monitor temperature. B. Reposition frequently. C. Limit then punctures. D. Access or assess neurologic status. E. Apply pressure to losing sites.
Correct answers are: a, c, d, and e.
· 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 practically eliminates the risk for which of the following?
Creutzfeldt-Jakob disease
Heparin -->
DVT
· A nurse is caring for a client who is taking ferrous sulfate to treat iron-deficiency anemia and develops iron toxicity. Which of the following dugs 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
· A nurse is teaching a client about taking ferrous sulfate to treat iron-deficiency anemia. Which of the following instructions should the nurse include? (Select all that apply) -Eat iron-enriched foods -Spread the dosage across each day -Take the drug on an empty stomach -Report dark green or black stools -Increase dietary fiber intake
Eat iron-enriched foods is correct. Take the drug on an empty stomach is correct. Report dark green or black stools is incorrect. Increase dietary fiber intake is correct.
· 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 VIIII 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 star aged alteplase therapy. The nurse should monitor the client for which of the following adverse effects?
Headache
· 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 aspirin to reduce the risk of a cardiovascular event. The nurse should identify that the drug inhibits platelet aggregation by which of following mechanisms?
Inhibiting cyclooxygenase action in platelets
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 lab 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 on hand if you haven't Heparin toxicity?
Protamine Sulfate
· A nurse is monitoring a client who is undergoing anticoagulant therapy with heparin. Which of the following findings should the nurse identify as a possible indication of hemorrhage?
Rapid pulse
Before administering IV folic acid, you should explain to the client that this drug can cause which of the following adverse effects? A. Headache. B. Nausea. C. Dizziness. D. Rash.
Rash.
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
factor VIII -->
hemophilia A
The provider discharges the client to home with a prescription for Warfarin. You should advise the client to do which of the following? Select all that apply a. Avoid taking NSAIDs B. Use a disposable razor C. Brush his teeth with the soft toothbrush. D. Increase intake of dark green leafy vegetables. E. Notify provider before taking over the counter drugs.
a, c, e
You should monitor a client throughout continuous Heparin therapy for which of the following adverse reactions? Select all that apply a. thrombocytopenia b. hypotension c. hypokalemia d. DVT e. fever
a. thrombocytopenia b. hypotension d. DVT e. fever
A provider 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?
aPTT 1.5-2 times the clients Baseline.
Alteplase-->
dissolves blood clots
Filgrastim-->
stimulates leukocyte production
A client is about to start taking cyanocobalamin, a vitamin B12 preparation. You understand that this drug treats which of the following types of anemia? a. pernicious B sickle cell C. aplastic D iron deficiency
the correct answer is A.
you are reviewing the history of a client who's about to start therapy with factor 8 to treat hemophilia a. Which of the following drugs the client takes should alert you to take further action? A. Albuterol. B. Phenytoin. C. Fennell lezyne. D. Aspirin
the correct answer is d.
A nurse is caring for a 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 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 lab valances to determine therapeutic effectiveness?
Reticulocyte count
· A nurse is caring for a client who is about to begin taking epoetin. An increase in which of the following lab values should indicate to the nurse that the therapy is effective?
Hgb
· A nurse is caring for a client who has chronic stable angina. The nurse should identify that which of the following drugs inhibits the action of adenosine diphosphate receptors (ADP) on platelets and can be prescribed to reduce the client's risk for myocardial infarction?
Clopidogrel