ATI: Hematologic System
A nurse is caring for a client who has chronic stable angina. The nurse should identify that which of the following drugs inhibits the actions of adenosine diphosphate receptors (ADP) on platelets and can be prescribed to reduce the client's risk for myocardial infarction? A. Clopidogrel B. Heparin C. Warfarin D. Alteplase
A
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? A. Hypertension B. Muscle pain C. Edema D. Dry mouth
A
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 first with D5W. D. Save the used vial for the next dose.
B
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? A. Weight loss B. Edema C. Polyuria D. Bradycardia
B
A nurse is caring for a client who is about alteplase therapy to treat pulmonary embolism. Which of the following drugs should the nurse have available in the event of a severe adverse reaction? A. Vitamin K B. Aminocaproic acid C. Protamine D. Deferoxamine
B
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? A. Amylase level B. Reticulocyte count C. C-reactive protein D. Creatinine clearance
B
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
A nurse should identify that clopidogrel is contraindicated for clients who have which of the following conditions? A. Myocardial infarction B. Peptic ulcer disease C. Pancreatitis D. Myasthenia gravis
B
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? A. PT B. WBC C. Hgb D. Platelets
C
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 therapy practically eliminates the risk for which of the following? A. HIV B. Cytomegalovirus C. Creutzfeldt-Jakob disease D. Anaphylaxis
C
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? A. Filgrastim B. Deferoxamine C. Protamine D. Vitamin K
D
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? A. Administer the powdered form orally. B. Premedicate with aspirin. C. Administer it via rapid IV bolus. D. Have emergency equipment ready.
D
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? A. Activating thromboxane A2 B. Blocking adenosine diphosphate receptor agonists C. Suppressing specific clotting factors D. Inhibiting cyclooxygenase action in platelets
D
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. 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, B, C, E
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? A. Dusky nail beds B. Petechiae C. Enlarged spleen D. Swollen calf
C
A nurse is monitoring a client following ferrous sulfate administration. The nurse should the client for which of the following adverse effects? A. Phlebitis B. Dark, orange-colored stools C. Constipation D. Injection site pain
C
A nurse should assess a client who has megaloblastic anemia for indications of which of the following vitamin deficiencies? A. Vitamin C B. Vitamin K C. Vitamin B12 D. Vitamin D
C
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
A nurse is monitoring a client who is undergoing anticoagulant therapy with heparin. Which of the following findings should 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
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
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. Hyponatremia C. Lymphocytopenia D. Thrombocytopenia
D
A nurse is caring for a client who is taking ferrous sulfate to treat iron deficiency anemia and develops toxicity. Which of the following drugs should the nurse expect to use to treat this complication? A. Flumazenil B. Acetylcysteine C. Naloxone D. Deferoxamine
D
A nurse is caring for a client who is experiencing an acute ischemic cerebrovascular event due to thrombus in cerebral vessel. Which of the following drugs should the nurse expect to administer? A. Alteplase B. Aspirin C. Clopidogrel D. Heparin
A
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
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? A. Protamine B. Desmopressin C. Ferrous sulfate D. Heparin
D