week 11 Pharm NCLEX/ ATI questions

A nurse is administering epoetin intravenously to a client who has Renal failure. Which of the following actions should the nurse take?

Administered via IV bolus over 1-3minutes

A nurse is caring for a client who is experiencing an acute ischemic cerebrovascular event due to a thrombus in a cerebral vessel. Which of the following drugs should the nurse expect to administer?

Alteplase

A patient diagnosed with pernicious anemia is to start cyanocobalamin ( Nascobal ) injections . Which patient statements demonstrates an understanding of the nurse's teaching ? ( Select all that apply . )

" I will need to take this drug for the rest of my life . " I will be able to switch ti nasal sprays on e my vitamin B12 levels are normal

A nurse is preparing to administer a prescribed dose of desmopressin to a client who has hemophilia A. The clients 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 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 patient with a congenital coagulation disorder is given aminocaproic acid ( Amicar ) to stop bleeding following surgery . The nurse will carefully monitor this patient for development of which adverse effects ?

Anaphylaxis Headache Hypotension

A patient with a history of heart failure will be started on spironolactone ( Aldactone ) . Which drug group should not be used , or used with extreme caution in patients taking potassium - sparing diuretics ?

Angiotensin - converting enzyme inhibitors or angiotensin receptor blockers

Which action by the nurse is most important when caring for a patient with chronic kidney disease who has an order for furosemide ( Lasix ) ?

Assess urine output and renal laboratory values for signs of nephrotoxicity .

A patient is receiving a thrombolytic drug , alteplase ( Activase ) , following an acute myocardial infarction . Which effect is most likely attributed to this drug ?

Bruising and epistaxis

Which of the following clinical manifestations 6. may indicate that the patient taking metolazone Zaroxolyn ) is experiencing hypokalemia ?

Cardiac dysrhythmias

Darbepoetin ( Aranesp ) is ordered for each of the fol lowing patients . The nurse would question the order for which condition ?

A patient with hypertension

A nurse is caring for a client who has chronic stable angina. The nurse should identify that which of the following drugs inhibit the action of Aden Spain diphosphate receptors (ADP) on platelets and can be prescribed to reduce the clients risk for myocardial infarction?

Clopidogrel

A nurse is monitoring a client following ferrous sulfate Administration. The nurse should monitor 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 asked 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 illuminates the risk for which of the following?

Creutzfeldt-Jakob disease

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 drugs should the nurse expect to used 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 instruction should the nurse include? (select all that apply)

Eat iron rich foods Spread the dose across each day Take the drug on an empty stomach Increase dietary fiber intake

The 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 filgrastim to treat neutropenia. The nurse should assess the client for which of the following adverse effects?

Enlarged Spleen

The nursing plan of care for a patient recieving oprelvekin ( Neumega ) should include careful monitoring for symptoms of which adverse effect ?

Fluid retention

When planning to teach the patient about the use of epoetin alfa ( Epogen , Procrit ) , which instructions would the nurse give ?

Frequent rest periods should be taken to avoid excessive fatigue .

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

A nurse is reviewing the medication record of a client who is receiving alteplase following an acute myocardial infarction (MI). Which of the following medication should the nurse expect the client to be taking in addition to the alteplase?

Heparin

The patient receiving heparin therapy asks how the blood thinner " works . What is the best response by the nurse ?

Heparin does not thin the blood but prevents clots from formong qs easily in the blood vessels .

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 client Who has Renal failure and is receiving epoetin. The notion 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.

To best monitor for therapeutic effects from filgrastim Granix , Neupogen ) , the nurse will assess which labo ratory finding ?

White blood cell or absolute neutrophil counts

A nurse should identify that clopidogrel is Contra indicated for clients who have which of the following conditions?

Peptic ulcer disease

The patient admitted for heart failure has been receiv ing hydrochlorothiazide ( Microzide ) . Which labora tory levels should the nurse carefully monitor ? ( Select all that apply . )

Potassium Sodium Uric acid

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

While planning for a patient's discharge from the hos pital , which teaching points would be included for a patient going home with a prescription for chlorothia zide ( Diuril ) ?

Report muscle cramping or weakness to the healthcare provider .

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

The nurse is providing teaching to a patient who has been prescribed furosemide ( Lasix ) . Which of the fol lowing should the nurse teach the patient ?

Rise slowly from a sitting ir lying position to standing

An older adult patient diagnosed with iron - deficiency anemia will be taking ferrous sulfate ( Feosol ) . The nurse will teach which of the required administration guidelines to the patient ? ( Select all that apply . )

Take the tablets on an empty stomach if possible . Increase fluid intake and increase dietary while taking this medication . If liquid preparations are used , dilute with water or juice and sip through a straw placed in the back of the mouth .

@reg What patient education should be included for a patient receiving enoxaparin ( Lovenox ) ? ( Select all that apply . )

Teach the patient or caregiver to give subcutane ous injections at home . Teach the patient or caregiver not to take any over - the - counter drugs without first consulting with the healthcare provider . 4. Teach the patient to observe for unexplained bleeding , such as pink , red , or dark brown urine or bloody gums . Teach the patient to monitor for the development of deep vein thrombosis .

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 patient has started clopidogrel ( Plavix ) after experi encing a transient ischemic attack . What is the desired therapeutic effect of this drug ?

To reduce the risk of a stroke from a blood clot

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 that was from 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 B 12

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 minister to the client?

Vitamin K

A patient with deep vein thrombosis is receiving an infusion of heparin and will be started on warfarin Coumadin ) soon . While the patient is receiving hepa rin , what laboratory test will provide the nurse with information about its therapeutic effects ?

aPTT