ATI: Hematologic System Test

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? a) Alteplase b) Aspirin c) Clopidogrel d) Heparin

a) Alteplase

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? a) Clarify the prescription with the provider b) Administer the drug with an analgesic c) Administer the required dose orally d) Assess factor IX levels

a) 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 action of adenosine diphosphate receptors (ADP) on platelets and can be prescribed to reduce the clients risk for myocardial infarction? a) Clopidogrel b) Heparin c) Warfarin d) Alteplase

a) Clopidogrel

A health care professional is caring for a patient who is about to begin taking ferrous sulfate (Feosol) to treat iron-deficiency anemia. When talking with the patient about the drug, the health care professional should include which of the following instructions? (Select all that apply) a) Eat iron-enriched foods b) Spread the dosage across each day c) Take the drug on an empty stomach d) Report dark green or black stools e) Increase dietary fiber intake

a) Eat iron-enriched foods b) Spread the dosage across each day c) Take the drug on an empty stomach d) Increase dietary fiber intake

A health care professional is caring for a patient who is about to begin factor III (Advate) therapy to treat hemophilia A. When administering factor VIII, which of the following actions should the health care professional take? a) Have emergency equipment ready b) Premedicate with aspirin (Ecotrin) c) Administer via rapid IV bolus d) Administer the powdered form orally

a) Have emergency equipment ready

A nurse is administering epoetin intravenously to a client who has renal failure. Which of the following actions should the nurse take? a) Shake the vial before using b) Administer via IV bolus over 1 to 3 min. c) Dilute the drug with D5W d) Save the used vial for the next dose

b) Administer via IV bolus over 1 to 3 min.

A health care professional is caring for patient who has mild hemophilia A and is about to begin taking desmopressin (DDAVP) to prevent bleeding. The health care professional should monitor for which of the following adverse reactions? a) Weight loss b) Edema c) Polyuria d) Tachycardia

b) Edema

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? a) Bronchodilation b) Headache c) Edema d) Hypertension

b) Headache

A health care professional is caring for a patient who is about to begin taking clopidogrel (Plavix) to prevent thrombus formation. The health care professional should question the use of clopidogrel by a patient who has which of the following? a) Myocardial infarction b) Peptic ulcer disease c) Pancreatitis d) Myasthenia gravis

b) Peptic ulcer disease

A health care professional is caring for a patient who is about ot begin taking folic acid to treat megaloblastic anemia. The health care professional should monitor which of the following laboratory values? a) Amylase level b) Reticulocyte count c) C-reactive protein d) Creatinine clearance

b) Reticulocyte count

A nurse is monitoring a client following ferrous sulfate administration. The nurse should monitor the client for which of the following adverse effects? a) Phlebitis b) Dark, orange-colored stools c) Constipation d) Injection site pain

c) Constipation

A health care professional is caring for a patient who is about to begin taking epoetin alfa (Epogen). Which of the following laboratory values should increase with effective therapy? a) PT b) WBC c) Hgb d) Platelets

c) Hgb

A nurse is reviewing the medication record of a client who is recieving atleplase following an acute myocardial infarction (MI). Which of the following medications should the nurse expect the client to be taking in addition to atleplase? a) Protamine b) Desmopressin c) Ferrous sulfate d) Heparin

d) Heparin

A health care professional is caring for a patient who is about to begin taking asprin (Ecotrin) to reduce the risk of a cardiovascular event. The health care professional should understand that the drug inhibits platelet aggregation by which of the following mechanisms? a) Activating thromboxane A2 b) Blocking adenosine diphosphate receptor agonists c) Supressing specific clotting factors d) Inhibiting cyclooxygenase action in platelets

d) Inhibiting cyclooxygenase action in platelets

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? a) Hyperuricemia b) Hyponatrmia c) Lyphocytopenia d) Thrombocytopenia

d) Thrombocytopenia

A patient who is taking warfarin (Coumadin) arrives at the emergency department and reports rectal bleeding. Which of the following drugs should the health care professional have available? a) Filgrastim (Neupogen) b) Deferoxamine (Desferal) c) Protamine d) Vitamin K

d) Vitamin K

A health care professional is caring for a patient who is about ot begin alteplase (Activase) therapy to treat pulmonary embolism. Which of the following drugs should the health care professional have available in the event of a severe adverse reaction? a) Vitamin K b) Aminocaproic acid (Amicar) c) Protamine d) Deferoxamine (Deseferal)

b) Aminocaproic acid (Amicar)

A health care professional is caring for a patient who is about to begin taking filgrastim (Neupogen) to treat neutropenia. The health care professional should assess the patient for which of the following adverse effects? a) Dusky nails bed b) Petechiae c) Enlarged spleen d) Swollen calf

c) Enlarged spleen

A patient who is taking ferrous sulfate (Feosol) to treat iron-deficiency anemia develops severe nausea and vomiting due to iron toxicity. Which of the following drugs should the health care professional use to treat this complication? a) Flumazenil (Mazicon) b) Acetylcysteine (Acetadote) c) Naloxone d) Deferoxamine (Desferal)

d) Deferoxamine (Desferal)

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? a) Sleep modifications b) Fluid modifications c) Driving modifications d) Dietary modifications

d) Dietary modifications

A health care professional administers epoetin alfa (Epogen) subcutaneously to a patient who has renal failure. The health care professional should monitor the patient for which of the following adverse effects? a) Hypertension b) Muscle pain c) Edema d) Dry mouth

a) Hypertension

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? a) Rapid Pulse b) Yellowing of the sclera c) Elevated Blood pressure d) Pale-colored stools

a) Rapid Pulse

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? a) Uncontrolled bleeding b) Myocardial infarction c) Respiratory depression d) Decreased renal perfusion

a) Uncontrolled bleeding

A health care professional should assess a patient who has megaloblastic anemia for indications of which of the following vitamin deficiencies? a) Vitamin B12 b) Vitamin K c) Vitamin C d) Vitamin D

a) Vitamin B12

A patient is about to begin therapy with recombinant factor IX (BeneFix) to treat hemophilia B. The patient asks the health care professional about the risk of disease transmission with recombinant factor IX, as compared with plasma-derived factor IX. The health care professional should explain that recombinant factor IX eliminates the risk of which of the following? a) HIV b) Cytomegalovirus c) Creutzfeldt-jakob disease d) Anaphylaxis

c) Creutzfeldt-jakob disease