Pharm Hematology Saunders NCLEX

Warfarin sodium (Coumadin) has been prescribed for a client, and the nurse teaches the client and family about the medication. Which statement by the client indicates a need for further teaching?

"I will not take any over-the-counter medications except aspirin."

A client is receiving supplemental therapy with folic acid (Folate). The nurse evaluates the effectiveness of this therapy by monitoring the results of which laboratory study?

Complete blood count

A client with chronic kidney disease is receiving ferrous sulfate (Feosol). The nurse should monitor the client for which common side effect associated with this medication? 1.Diarrhea 2.Weakness 3. Headache 4.Constipation

Constipation

A client who was recently prescribed warfarin (Coumadin) is being instructed on diet changes necessary with this medication. The client reports enjoying all of these food items. Which items should the nurse instruct the client to limit consuming? Select all that apply.

Spinach salad, Mustard greens

A client in renal failure is receiving epoetin alfa (Epogen). The nurse should monitor the client for which adverse effect of this medication?

Hypertension

Enoxaparin sodium (Lovenox) is prescribed for the client following hip replacement surgery. The nurse prepares to have which available in the event that an overdose of the medication occurs?

Protamine Sulfate

Intravenous heparin therapy is prescribed for a client. While implementing this prescription, the nurse ensures that which medication is available on the nursing unit?

Protamine Sulfate

The nurse is reinforcing instructions to a client regarding epoetin alfa (Epogen) that will be administered subcutaneously by the client at home. The nurse tells the client to do which action?

Refrigerate the medication.

A client with no history of heart disease has experienced an acute myocardial infarction and been given thrombolytic therapy with tissue plasminogen activator (t-PA). The nurse interprets that the client is likely experiencing a complication of this therapy if which occurs?

Tarry stools

The nurse is caring for a client with a diagnosis of chronic kidney disease who is receiving dialysis. Epoetin alfa (Epogen) has been prescribed for the client. How should the nurse prepare to administer the medication?

The subcutaneous route

The nurse is reviewing the postoperative prescriptions for a client who has just returned from surgery and notes that the surgeon has prescribed lepirudin (Refludan). Which is this medication prescribed to prevent?

Thromboembolic complications

The nurse is reviewing the health care provider's (HCP) prescriptions for a client scheduled for a cardiac catheterization and notes that the HCP has prescribed tirofiban (Aggrastat). The nurse understands that this medication has been prescribed for which purpose?

To inhibit thrombus formation

Iron dextran (InFeD) is prescribed to be administered intramuscularly to a client. The nurse prepares the medication and determines that the appropriate method of administration is which?

Using the Z-track technique

Oral iron supplements are prescribed for a 6-year-old child with iron deficiency anemia. The nurse reinforces instructions to the mother and tells the mother to administer the iron with which best food item? 1.Milk 2.Water 3Apple juice 4.Orange juice

4. Orange Juice

The nurse reinforces instructions to a pregnant client regarding the administration of iron. The nurse determines that the teaching is effective if the client states that she will take the iron with which food items?

Tomato juice

The nurse is reinforcing instructions to the parents of a child with iron deficiency anemia regarding the administration of a liquid oral iron supplement. Which instruction should the nurse provide the mother?

Administer the iron through a straw.

The nurse is caring for a hospitalized client with a mechanical heart valve who is receiving maintenance therapy of warfarin sodium (Coumadin). The client's international normalized ratio (INR) is 3. The nurse anticipates which prescription?

Administering the next dose of warfarin sodium

The nurse is assisting in preparing a diet plan for a client who is taking the anticoagulant, warfarin (Coumadin). The nurse instructs the client to exclude which foods from the diet?

Broccoli