Pharm II The Hematologic System

A nurse is teaching a client about taking ferrous sulfate to treat iron-deficiency anemia. Which of the the following instructions should the nurse include? (select all that apply) a) eat iron-enriched foods b) spread the dosage across each day c) take the drug on an empty stomach d) report dark green or black stools e) increase dietary fiber intake

a) eat iron-enriched

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? a) bronchodilation b) headache c) edema d) hypertension

b) headache **alteplase, a thrombolytic drug, can cause intracranial bleeding; the nurse should monitor the client for changes in level of consciousness, headache, one-sided weakness, and other indications of intracranial bleeding

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? a) protamine b) desmopressin c) ferrous sulfate d) heparin

d) heparin **heparin therapy should be initiated before alteplase therapy and continued for at least 48 to 72 hr after the fibrinolytic therapy to reduce the risk of additional clot formation

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? a) activating thromboxane A2 b) blocking adenosine diphosphate receptor agonists c) suppressing specific clotting factors d) inhibiting cyclooxygenase action in platelets

d) inhibiting cyclooxygenase action in platelets **salicylates, such as aspirin, work by inhibiting platelet aggregation; they do this by blocking the action of cyclooxygenase on platelets; as a result, activation of thromboxane A2 does not occur