ATI - The Hematologic System Test

A nurse is caring for a client who is experiencing an acute ischemic cardiovascular 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 for daily D. Assess factor IX levels

A. Clarify the prescription with the provider

A nurse is administering epoetin intravenously to a client 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 minutes C. Dilute the drug first with D5W D. Save the used vial for the next one

B. Administer via IV bolus over 1 to 3 minutes

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? A. Vitamin K B. Aminocaproic acid C. Protamine D. Deferoxamine

B. Aminocaproic acid

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. Edema

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 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? A. HIV B. Cytomegalovirus C. Creutzfeldt-Jakob disease D. Anaphylaxis

C. Creutzfeldt-Jakob disease

A nurse is caring for a client who is taking filgastrim 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. Enlarged spleen

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 use to treat this complication? A. Flumazenil B. Acetylcysteine C. Naloxone D. Deferoxamine

D. Deferoxamine

A nurse is teaching to a client who is startung treatment with warfarin. The nurse should plan to include information the effectiveness of a drug? A. Sleep modifications B. Fluid modifications C. Driving moth modifications D. Dietary modifications

D. Dietary modifications

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. Have emergency equipment ready

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 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. Hgb

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. Vitamin B12

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. 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. Hyponatremia C. Lymphocytopenia D. Thrombocytopenia

D. Thrombocytopenia

A nurse is caring for a client who recently started alteplase therapy. The nurse should monitor the client for which of teh following adverse effects? A. Bronchodilation B. Headache C. Edema D. Hypertension

B. Headache

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 every day C. Take the drug on an empty stomach D. Report dark green or even black stools E. Increase dietary fiber

A, B, C, E

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 nurse should identify that clopidogrel is contraindicated for clients who have which of the following conditions? A. Myocardial infarction B. Peptic ulcer believe C. Pancreatitis D, Myasthenia gravis

B. Peptic ulcer believe

A nurse is caring for a client who is about to begin taking folic afcid 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. Reticulocyte count

A nurse is 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. Filgastrim B. Deferoxamine C. Protamine D. Vitamin K

D. Vitamin K

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. Hypertension

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? A. Clopidogrel B. Heparin C. Warfarin D. Alteplase

A. Clopidrogel

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 alteplase? A. Protamine B. Desmopressin C. Ferrous sulfate D. Heparin

D. Heparin