ATI Week 7: The Hematologic System Flashcards
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?
- Drink it through a straw
- Dilute it first with water
- Take it with food
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?
Pernicious
Therapeutic effect of: Factor VIII (8)
Hemophilia A
Therapeutic effect of: Folic Acid
Megaloblastic anemia
Therapeutic effect of: Heparin
Deep vein thrombosis
Therapeutic effect of: Filgrastim
Chronic neutropenia
Before administering IV folic acid, you should explain to the client that this drug can cause which of the following A/E?
Rash
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?
Aspirin
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?
PT / NR
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?
- Monitor temperature
- Limit venipunctures
- Assess neurologic status
- Apply pressure to oozing sites
Pharmacologic action of: Alteplase
Dissolves blood clots
Pharmacologic action of: Filgrastim
Stimulates leukocyte production
Pharmacologic action of: Epoetin alfa
Stimulates RBC production
Pharmacologic action of: Clopidogrel
Inhibits platelet aggregation
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?
- Petechiae
- Weakness
- Vision changes
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?
ECG
A nurse should identify that clopidogrel is contraindicated for clients who have which of the following conditions?
Peptic ulcer disease
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?
Rapid pulse
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?
Hgb
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?
Thrombocytopenia
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?
Edema
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 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 is caring for a client who recently started alteplase therapy. The nurse should monitor the client for which of the following A/E?
Headache
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?
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?
- Eat iron-enriched food
- Spread the dosage across each day
- Take the drug on an empty stomach
- Increase dietary fiber intake
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?
Deferoxamine
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?
Enlarged spleen
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?
Clopidogrel
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?
Vitamin K
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 monitoring a client following ferrous sulfate administration. The nurse should monitor the client for which of the following A/E?
Constipation
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 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?
Heparin
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 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 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?
Clarify the prescription with the provider
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?
Reticulocyte count
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?
Creutzfeldt-Jakob disease
A nurse is administering epoetin IV to a client who has renal failure. Which of the following actions should the nurse take?
Administer via IV bolus over 1 - 3 minutes
A nurse should assess a client who has megaloblastic anemia for indications of which of the following vitamin deficiencies?
Vitamin B12
