Nursing ATI Hematologic System

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? protamine desmopressin ferrous sulfate heparin

heparin

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? - activating thromboxane A2 - blocking adenosine diphosphate receptor agonists suppressing specific clotting factors - inhibiting cyclooxygenase action in platelets

- inhibiting cyclooxygenase action in platelets

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? PT WBC Hgb Platelets

Hgb

A nurse should assess a client who has megaloblastic anemia for indications of which of the following vitamin deficiencies? vitamin C vitamin K vitamin B12 vitamin D

Vitamin B12

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? filgrastim deferoxamine protamine vitamin K

Vitamin K

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? bronchodilation headache edema hypertension

headache

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? alteplase aspirin clopidogrel heparin

alteplase

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? vitamin K aminocaproic acid protamine deferoxamine

aminocaproic acid

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? clopidogrel heparin warfarin alteplase

clopidogrel

A nurse is monitoring a client following ferrous sulfate administration. The nurse should the client for which of the following adverse effects? phlebitis dark, orange-colored stools constipation injection site pain

constipation

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? flumazenil acetylcysteine naloxone deferoxamine

deferoxamine

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? sleep modifications fluid modifications driving modifications dietary modifications

dietary modifications

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? 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 of the following adverse effects? dusky nail beds petechiae enlarged spleen swollen calf

enlarged spleen

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? hypertension muscle pain edema dry mouth

hypertension

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) each iron-enriched foods spread the dosage across each day take the drug on an empty stomach report dark green or black stools increase dietary fiber intake

- each iron-enriched foods - spread the dosage across each day - take the drug on an empty stomach - increase dietary fiber intake

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? rapid pulse yellowing of the sclera elevated blood pressure pale-colored stools

rapid pulse

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? hyperuricemia hypoatremia lymphocytopenia thrombocytopenia

thrombocytopenia

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? uncontrolled bleeding myocardial infarction respiratory depression decreased renal perfusion

uncontrolled bleeding

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? - amylase level - reticulocyte count - C-reactive protein - creatinine clearance

- reticulocyte count

A nurse should identify that clopidogrel is contraindicated for clients who have which of the following conditions? myocardial infarction peptic ulcer disease pancreatitis myasthenia gravis

peptic ulcer disease