Pharm Exam 3 Study guide

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?

Rapid pulse

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.

-Eat 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 takes aspirin daily. The nurse should identify which of the following manifestations as adverse effects of aspirin? Select all that apply

-coffee ground emesis -tinnitus -nausea

A nurse is monitoring a client who is receiving epoetin alfa for adverse effects. The nurse should identify which of the following findings as an adverse effect of this medication. Select all that apply.

-hypertension -headache

A nurse is transfusing a unit of packed red blood cells to a client who has anemia due to chemotherapy. The client reports a sudden headache and chills. The client's temperature is 2F higher than the baseline reading. In addition to notifying the provider, which of the following actions should the nurse take? Select all that apply

-stop the transfusion -remove the blood bag and tubbing from the IV catheter -obtain a urine specimen

A nurse is administering epoetin intravenously to a client who has renal failure. Which of the following actions should the nurse take?

Administer via IV bolus over 1 to 3 min

A nurse is reviewing the medical record of a client who has a new prescription for sagramostim. Which of the following findings should the nurse identify as a contraindication to administering the medication?

Allergy to yeast

A nurse is caring for a client who is experiencing an acute ischemic cerebrovascular event due to a thrombus in a cerebral vessel. Which of the following drugs should the nurse expect to administer?

Alteplase

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?

Aminocaproic acid

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?

Clarify the prescription with the provider

A nurse is preparing to transfuse a unit of packed red blood cells to a client who has severe anemia. Which of the following interventions can prevent an acute hemolytic reaction?

obtain help from another nurse to confirm the correct client and blood product

A nurse is caring for a client who has chronic stable angina. The nurse identify that which of the following drugs inhibits the action of adenosine diphosphate receptors on platelets and can be prescribed to reduce the client's risk for myocardial infarction?

Clopidogrel

A nurse is monitoring a client following ferrous sulfate administration. The nurse should monitor the client for which of the following adverse effects?

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 whild of the following?

Creutzfeld-Jakob disease

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?

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?

Dietary modifications

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?

Discard vial after removing one dose of the medication

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?

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?

Enlarged spleen

A nurse is assessing a client during transfusion of a unit of whole blood. The client develops a cough, shortness of breath, elevated blood pressure, and distended neck veins. The nurse should expect a prescription for which of the following medications?

Furosemide

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?

Have emergency equipment ready

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?

Headache

A nurse is reviewing the medication record of a client who is receiving alteplase following an acute MI. Which of the following medications should the nurse expect the client to be taking in addition to the alteplase?

Heparin

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?

Hgb

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

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?

Inhibiting cyclooxygenase action in platelets

A nurse is planning to administer subcutaneous enoxaparin 40mg using 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?

Insert the needle completely into the client's tissue

A nurse is planning to administer IV alteplase to a client. Which of the following interventions should the nurse plan to take?

Obtain the client's weight

A nurse is caring for a client who has atrial fibrillation and a new prescription for dabigatran. Which of the following medications is prescribed concurrently to treat an adverse effect of dabigatran?

Omeprazole

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

Peptic ulcer disease

A nurse is caring for a client who is receiving heparin by continuous IV infusion. The client begins vomiting blood. After the heparin has been stopped, which of the following medications should the nurse prepare to administer?

Protamine

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?

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 reactions?

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

A nurse should assess a client who megaloblastic anemia for indications of which of the following vitamin deficiencies?

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?

Vitamin K

A nurse is preparing to administer a transfusion of 300mL of pooled platelets to a client who has severe thrombocytopenia. The nurse should plan to administer the transfusion over which of the following time frames?

Within 30 min/unit

A nurse is assessing a client who has chronic neutropenia and has been receiving filgrastim. Which of the following actions should the nurse take to assess for an adverse effect of figrastim?

bone pain

A nurse is caring for a client who has an activated partial thromboplastin time greater than 1.5 times the expected reference range. Which of the following blood products should the nurse prepare to transfuse?

fresh frozen plasma