Hematologic Quizzes
A nurse is caring for a client who is receiving heparin to treat deep-vein thrombosis. The client begins vomiting blood. After stopping the heparin infusion, which of the following medications should the nurse expect the RN to administer? a. atropine b. protamine c. vitamin K d. calcium gluconate
b. protamine
A nurse is preparing to administer a prefilled syringe of enoxaparin 40mg/0.4mL to an adult client following hip arthroplasty. Which of the following actions should the nurse plan to take? a .Insert the needle completely into the client's tissue. b .Aspirate carefully after inserting the needle through the client's skin. c .Expel the air bubble from the prefilled syringe before injecting. d .Administer the injection into the client's thigh.
a .Insert the needle completely into the client's tissue.
A nurse is monitoring a client who is receiving epoetin alfa for adverse effects. Which of the following findings are adverse effects of this medication? (select all that apply) a. hypertension b. leukocytosis c. blurred vision d. headache e. edema
a. & d. hypertension & headache
A nurse is reviewing the current medication list in the medical record of a client who has a new prescription for warfarin. To reduce the risk for hemorrhage, the client should stop taking which of the following medications? a. acetaminophen b. carbamazepine c. phenytoin d. oral contraceptives
a. acetaminophen
A nurse is caring for a client who is receiving daily doses of oprelvekin. Which of the following laboratory values should the nurse monitor to determine the effectiveness of this medication? a. platelet count b. absolute neutrophil count c. hemoglobin d. total white blood cell count
a. platelet count
A nurse is monitoring a client who takes aspirin 81 mg PO daily. The nurse should identify which of the following manifestations as adverse effects of daily aspirin therapy? (select all that apply) a. tinnitus b. hyptertension c. coffee-ground emesis d. nausea e. paresthesias of the extremities
a., c., & d. tinnitus, coffee-ground emesis, & nausea
A nurse is collecting data from a client who has chronic neutropenia and who has been receiving filgrastim. Which of the following actions should the nurse take to evaluate the client for an adverse effect of filgrastim? a. Check for right lower quadrant pain. b. Auscultate for crackles in the bases of the lungs. c. Ask about bone pain. d. Auscultate the chest for a heart murmur.
c. Ask about bone pain.
A nurse is caring for a client who has atrial fibrillation and a new prescription for dabigatran to prevent the development of thrombosis. Which of the following medications is the provider likely to prescribe concurrently to treat an adverse effect of dabigatran? a. vitamin K b. probenecid c. omeprazole d. protamine
c. omeprazole
A nurse is preparing to administer filgrastim for the first time to a client who has just undergone a bone marrow transplant. Which of the following actions should the nurse take? a. Keep the medication in the refrigerator until just prior to administration. b. Administer the medication IM in a large muscle mass to prevent injury. c. Shake the vial gently to mix it well before withdrawing the dose. d. Discard the vial after removing one dose of the medication.
d. Discard the vial after removing one dose of the medication.