ATI: Hematologic System

A nurse is caring for a client who has renal failure and is taking Epoetin. The nurse should monitor for what adverse event? (Hypertension, muscle pain, edema, dry mouth)

Hypertension

A client takes aspirin to reduce the risk of a cardiovascular event. Aspirin inhibits the platelet aggregation of what?

Inhibiting Cyclooxyrgenase Action in Platelets

A nurse is administering Epoetin (IV) to a renal failure client. What is the action of the nurse when administering?

Administer via IV Bolus over 1-3 minutes

A client has an acute ischemic cerebrovascular event due to a thrombus in a cerebral vessel. What drug does the nurse administer?

Alteplase

A nurse is caring for a client who is about to begin Alteplase therapy to treat a pulmonary embolism. Which of the following drugs should the nurse have available in the event of a severe adverse event? (Vitamin K, Aminocaproid Acid, Protamine, Deferoxamine)

Aminocaproid Acid

A nurse is preparing to administer desmospressin to a client with hemophilia A. Their lab sodium level is 130 mEq/L. What action should the nurse take?

Clarify prescription with 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 on platelets and can be prescribed to reduce clients risk for myocardial infarction?

Clopidogrel

A nurse is monitoring a client on Ferrous Sulfate administration. Which adverse event can occur? (Phlebitis, Injection site pain, headache, constipation)

Constipation

A client is on therapy with recombinant factor IX to treat hemophilia B. The risk of disease transmission with recombinant factor IX compared to plasma-derived factor IX. Recombinant Factor IX eliminates what risk?

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 drug can treat this complication? (Flumazenil, Naloxone, Acetylcysteine, Deferoxamine)

Deferoxamine

A nurse is teaching a client about Warfarin. The nurse should talk about what that promotes drug effectiveness? (Exercise, Diet, high fiber intake, or combination medication)

Dietary Modifications

A nurse is teaching a client about Ferrous Sulfate to treat iron deficiency anemia. Which of the following instructions should the nurse include?

Eat Iron enriched foods Spread dosage across each day Take on an empty stomach Increase dietary fiber intake

A nurse is caring for a client who has hemophilia A and is about to begin taking desmospressin to prevent bleeding. The nurse should monitor the client for which adverse event? (Weight loss, Edema, Polyuria, Bradycardia)

Edema

A nurse is caring for a client who is taking Filgrastim to treat neutropenia. The nurse should assess the client for which adverse event? (Dusky nail beds, Enlarged Spleen, Swollen Calf, Petechia)

Enlarged Spleen

A nurse is caring for a client who is taking Factor VIII therapy for hemophilia A. When administering what action should the nurse take?

Have emergency equipment ready

A nurse is caring for a client who recently started alteplase therapy. The nurse should monitor which adverse events? (Bronchodilation, Headache, Edema, Hypertension)

Headache

A client is receiving Alteplase after an acute myocardial infarction. Which medication should be taken with Alteplase?

Heparin

A nurse should identify that Clopidrogel is contraindicated for clients who have which of the following conditions?

Peptic Ulcer Disease

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? (yellow sclera, elevated BP, rapid pulse, or stool change)

Rapid Pulse

A client is taking Folic Acid to treat megaloblastic anemia. The nurse monitors what lab tests for therapeutic effectiveness?

Reticulocyte Count

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 event? (Hyperuricemia, Lymphocytopenia, Hyponatremia, thrombocytopenia)

Thrombocytopenia

A nurse is caring for a client who is scheduled for an outpatient surgical procedure and reports taking Aspirin 81mg daily (including this morning). What is the client at risk for? ( Myocardial infarction, Uncontrolled bleeding, Decreased renal output, Respiratory depression?)

Uncontrolled Bleeding

A nurse should assess a client who has megaloblastic anemia for indications of which of the following vitamin deficiencies? (Vitamin A/C/B12/ or D)

Vitamin B12

A nurse in an emergency department is assessing a client who has been taking Warfarin and is experiencing rectal bleeding. Which drug should the nurse administer (Aspirin, Vitamin K, Protamine, Filgrastim)

Vitamin K

A nurse is caring for a client who is about to begin taking Epoetin. An increase in "PT, WBC, Hgb or Platelets" indicates that the therapy is effective?

Hgb (Hemoglobin)