Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Pharmacology > ATI Week 7: The Hematologic System > Flashcards

ATI Week 7: The Hematologic System Flashcards

1
Q

A client is about to start taking liquid ferrous sulfate to treat iron deficiency anemia. Which of the following instructions should you include when talking with the client about taking this drug?

A
  1. Drink it through a straw
  2. Dilute it first with water
  3. Take it with food
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

A client is about to start taking cyanocobalamin, a vitamin B12 preparation. You understand that this drug treats which of the following types of anemia?

A

Pernicious

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Therapeutic effect of: Factor VIII (8)

A

Hemophilia A

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Therapeutic effect of: Folic Acid

A

Megaloblastic anemia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Therapeutic effect of: Heparin

A

Deep vein thrombosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Therapeutic effect of: Filgrastim

A

Chronic neutropenia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Before administering IV folic acid, you should explain to the client that this drug can cause which of the following A/E?

A

Rash

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

You are reviewing the history of a client who is about to start therapy with Factor VIII to treat hemophilia A. Which of the following drugs the client takes should alert you to take further action?

A

Aspirin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

A client is about to start taking warfarin to prevent venous thrombosis. You should explain to the client that taking this drug initially requires daily blood samples to monitor the results of which of the following lab tests?

A

PT / NR

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

You are caring for a client who is receiving alteplase to dissolve a thrombus. Which of the following should you include in your care plan for this client?

A
  1. Monitor temperature
  2. Limit venipunctures
  3. Assess neurologic status
  4. Apply pressure to oozing sites
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Pharmacologic action of: Alteplase

A

Dissolves blood clots

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Pharmacologic action of: Filgrastim

A

Stimulates leukocyte production

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Pharmacologic action of: Epoetin alfa

A

Stimulates RBC production

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Pharmacologic action of: Clopidogrel

A

Inhibits platelet aggregation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

A client is about to start taking clopidogrel to prevent transient ischemic attacks. You should instruct the client to watch and report for which of the following adverse effects of this drug?

A
  1. Petechiae
  2. Weakness
  3. Vision changes
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

A client is about to start taking oprelvekin for thrombocytopenia. To assess for A/E of this drug, you should monitor for which of the following carefully during drug therapy?

A

ECG

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

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

A

Peptic ulcer disease

18
Q

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 a hemorrhage?

A

Rapid pulse

19
Q

A nurse is caring for a client who is about to begin taking epoetin. An increase in which of the following lab values should indicate to the nurse that the therapy is effective?

A

Hgb

20
Q

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 A/E reactions?

A

Thrombocytopenia

21
Q

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 A/E?

A

Edema

22
Q

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?

A

Aminocaproic acid

23
Q

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?

A

Uncontrolled bleeding

24
Q

A nurse is caring for a client who recently started alteplase therapy. The nurse should monitor the client for which of the following A/E?

A

Headache

25
Q

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 A/E?

A

Hypertension

26
Q

A nurse is teaching a client about taking ferrous sulfate to treat iron-deficiency anemia. Which of the following instructions should the nurse include?

A
  1. Eat iron-enriched food
  2. Spread the dosage across each day
  3. Take the drug on an empty stomach
  4. Increase dietary fiber intake
27
Q

A nurse is caring for a client who is taking ferrous sulfate to treat iron-deficiency anemia and develops iron toxicity. Which of the the following drugs should the nurse expect to use to treat this complication?

A

Deferoxamine

28
Q

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 A/E?

A

Enlarged spleen

29
Q

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

A

Clopidogrel

30
Q

A nurse is an emergency department is assessing a client who is been taking warfarin and is experiencing rectal bleeding. Which of the following drugs should the nurse expect to administer to the client?

A

Vitamin K

31
Q

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

Inhibiting cyclooxygenase action in platelets

32
Q

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

A

Constipation

33
Q

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?

A

Dietary modifications

34
Q

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

Heparin

35
Q

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?

A

Have emergency equipment ready

36
Q

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?

A

Alteplase

37
Q

A nurse is preparing to administer a prescribed dose of desmopressin to a client who has hemophilia A. The clients laboratory results indicate that the client has a sodium level of 130 mEq/ L. Which of the following actions should the nurse take?

A

Clarify the prescription with the provider

38
Q

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 lab values to determine therapeutic effectiveness?

A

Reticulocyte count

39
Q

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 risk for which of the following?

A

Creutzfeldt-Jakob disease

40
Q

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

A

Administer via IV bolus over 1 - 3 minutes

41
Q

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

A

Vitamin B12

Pharmacology (55 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions