A health care professional is caring for a patient who is about to begin taking epoetin
alfa (Epogen). Which of the following laboratory values should increase with effective
therapy?
a) PT
b) WBC
c) Hgb
d) Platelets - ANS-c) Hgb
A patient who is taking ferrous sulfate (Feosol) to treat iron-deficiency anemia develops
severe nausea and vomiting due to iron toxicity. Which of the following drugs should the
health care professional use to treat this complication?
a) Flumazenil (Mazicon)
b) Acetylcysteine (Acetadote)
c) Naloxone
d) Deferoxamine (Desferal) - ANS-d) Deferoxamine (Desferal)
A patient who is taking warfarin (Coumadin) arrives at the emergency department and
reports rectal bleeding. Which of the following drugs should the health care
professional have available?
a) Filgrastim (Neupogen)
b) Deferoxamine (Desferal)
c) Protamine
d) Vitamin K - ANS-d) Vitamin K
A health care professional should assess a patient who has megaloblastic anemia for
indications of which of the following vitamin deficiencies?
a) Vitamin B12
b) Vitamin K
c) Vitamin C
d) Vitamin D - ANS-a) Vitamin B12
A health care professional is caring for a patient who is about to begin taking clopidogrel
,(Plavix) to prevent thrombus formation. The health care professional should question
the use of clopidogrel by a patient who has which of the following?
a) Myocardial infarction
b) Peptic ulcer disease
c) Pancreatitis
d) Myasthenia gravis - ANS-b) Peptic ulcer disease
A health care professional administers epoetin alfa (Epogen) subcutaneously to a
patient who has renal failure. The health care professional should monitor the patient for
which of the following adverse effects?
a) Hypertension
b) Muscle pain
c) Edema
d) Dry mouth - ANS-a) Hypertension
A health care professional is caring for a patient who is about ot begin taking folic acid
to treat megaloblastic anemia. The health care professional should monitor which of the
following laboratory values?
a) Amylase level
b) Reticulocyte count
c) C-reactive protein
d) Creatinine clearance - ANS-b) Reticulocyte count
A health care professional is caring for a patient who is about to begin factor III (Advate)
therapy to treat hemophilia A. When administering factor VIII, which of the following
actions should the health care professional take?
a) Have emergency equipment ready
b) Premedicate with aspirin (Ecotrin)
c) Administer via rapid IV bolus
d) Administer the powdered form orally - ANS-a) Have emergency equipment ready
A health care professional is caring for a patient who is about to begin taking filgrastim
(Neupogen) to treat neutropenia. The health care professional should assess the patient
for which of the following adverse effects?
a) Dusky nails bed
A health care professional is caring for patient who has mild hemophilia A and is about
to begin taking desmopressin (DDAVP) to prevent bleeding. The health care
professional should monitor for which of the following adverse reactions?
a) Weight loss
b) Edema
c) Polyuria
d) Tachycardia - ANS-b) Edema
A health care professional is caring for a patient who is about ot begin alteplase
(Activase) therapy to treat pulmonary embolism. Which of the following drugs should the
health care professional have available in the event of a severe adverse reaction?
a) Vitamin K
b) Aminocaproic acid (Amicar)
c) Protamine
d) Deferoxamine (Deseferal) - ANS-b) Aminocaproic acid (Amicar)
A health care professional is caring for a patient who is about to begin taking asprin
(Ecotrin) to reduce the risk of a cardiovascular event. The health care professional
should understand that the drug inhibits platelet aggregation by which of the following
mechanisms?
a) Activating thromboxane A2
b) Blocking adenosine diphosphate receptor agonists
c) Supressing specific clotting factors
d) Inhibiting cyclooxygenase action in platelets - ANS-d) Inhibiting cyclooxygenase
action in platelets
A health care professional is caring for a patient who is about to begin taking ferrous
sulfate (Feosol) to treat iron-deficiency anemia. When talking with the patient about the
drug, the health care professional should include which of the following instructions?
(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 - ANS-a) Eat iron-enriched foods
b) Spread the dosage across each day
c) Take the drug on an empty stomach
e) Increase dietary fiber intake
A patient is about to begin therapy with recombinant factor IX (BeneFix) to treat
hemophilia B. The patient asks the health care professional about the risk of disease
transmission with recombinant factor IX, as compared with plasma-derived factor IX.
The health care professional should explain that recombinant factor IX eliminates the
risk of which of the following?
a) HIV
b) Cytomegalovirus
c) Creutzfeldt-jakob disease
d) Anaphylaxis - ANS-c) Creutzfeldt-jakob 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
hemorrhage?
a) Rapid Pulse
b) Yellowing of the sclera
c) Elevated Blood pressure
d) Pale-colored stools - ANS-a) Rapid Pulse
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? a)
Hyperuricemia
b) Hyponatrmia
c) Lyphocytopenia
d) Thrombocytopenia - ANS-d) 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? a) Uncontrolled
bleeding
b) Myocardial infarction
c) Respiratory depression
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