The Hematologic System Test

Question 1

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?

Answer 1

Headache

Question 2

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?

Answer 2

Vitamin K

Question 3

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

Answer 3

Clopidogrel

Question 4

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?

Answer 4

Clarify the prescription with the provider.

Question 5

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?

Answer 5

Edema

Question 6

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

Answer 6

Constipation

Question 7

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?

Answer 7

Aminocaproic acid

Question 8

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

Answer 8

Vitamin B12

Question 9

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?

Answer 9

Have emergency equipment ready.

Question 10

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?

Answer 10

Thrombocytopenia

Question 11

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?

Answer 11

Uncontrolled bleeding

Question 12

A nurse is teaching a client about taking ferrous sulfate to treat iron-de!ciency anemia. Which of the following instructions should the nurse include? (Select all that apply.)

Answer 12

Eat iron-enriched foods/ Spread the dosage across each day/ Take the drug on an empty stomach/ Increase dietary fiber intake

Question 13

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

Answer 13

Peptic ulcer disease

Question 14

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?

Answer 14

Dietary modifications

Question 15

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 which of the following?

Answer 15

Creutzfeldt-Jakob disease

Question 16

A nurse is caring for a client who is taking !lgrastim to treat neutropenia. The nurse should assess the client for which of the following adverse effects?

Answer 16

Enlarged spleen

Question 17

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?

Answer 17

Hgb

Question 18

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?

Answer 18

Heparin

Question 19

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?

Answer 19

Reticulocyte count

Question 20

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?

Answer 20

Deferoxamine

Question 21

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

Answer 21

Administer via IV bolus over 1 to 3 min.

Question 22

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?

Answer 22

Inhibiting cyclooxygenase action in platelets

Question 23

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?

Answer 23

Hypertension

Question 24

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?

Answer 24

Alteplase

Question 25

A nurse is monitoring a client who is undergoing anticoagulant therapy with heparin. Which of the following !ndings should the nurse identify as a possible indication of hemorrhage?

Answer 25

Rapid pulse