NURS 216 Pharm ATI Study Guide 2020 – Washington Adventist University | NURS216 Pharm ATI Study Guide 2020

NURS 216 Pharm ATI Study Guide 2020 – Washington Adventist University Pharm Q5- Hematology ------------------------------------ATI BOOK CH. 23--------------------------------------------- 1. A nurse is assessing a c ...

NURS 216 Pharm ATI Study Guide 2020 – Washington Adventist University Pharm Q5- Hematology ------------------------------------ATI BOOK CH. 23--------------------------------------------- 1. A nurse is assessing a client who is taking amiodarone to treat atrial fibrillation. Which of the following findings is a manifestation of amiodarone toicity? Light yellow urine Report of tinnitus Productive cough Blue-gray skin dicoloration 2. A nurse is caring for a client who received IV verapamil to treat supraventricular tachycardia (SVT). The client’s pulse rate is not 98/min and his blood pressure is 74/44 mm Hg. The nurse should anticipate a prescription for which of the follwoing IV medications? Calcium gluconate Sodium bicarbonate Potassium chloride Magnesium sulfate 3. A nurse is assessing a client who is taking digoin to treat heart failure. Which of the following findings is a manifestation of digoin toicity? Bruising Report of metallic taste Muscle pain Report of anoreia 4. A nurse is assessing a client who has take procainamide to treat dysrhythmias for the last 12 months. The nurse should assess the client for which of the following adverse effects of this medication? (Select all that apply) Hypertension Widened QRS comple Narrowed QT interval Easy bruising Swollen joints 5. A nurse is preparing to administer propranolol to a client who has a dysrhythmia. Which of the following actions should the nurse plan to take hold propranolol for an apical pulse greater than 100/min administer propranolol to increase the client’s blood pressure assist the client when she sits up or stands after taking this medication check for hypokalemia frequently due to the risk for propranolol toicity ------------------------------------ATI BOOK CH. 25--------------------------------------------- 6. A nurse is planning to administer subcutaneous enoaparin 40 mg using a prefilled syringe of enoaparin 40 mg/0.4 mL to an adult client following hip arthroplasty. Which of the following actions should the nurse plant to take? Epel air bubble from the prefilled syringe before injecting Insert the needle completely into the client’s tissue Administer the injection in the client’s thigh Aspirate carefully after inserting the needle into the client’s skin 7. A nurse is caring for a hospitalized client who is receiving IV heparin for a deep-vein thrombosis. The client begins vomiting blood. After the heparin has been stopped, which of the following medications should the nurse prepare to administer? Vitamin K1 Atropine Protamine Calcium gluconate 8. A nurse is planning to administer IV alteplase to a client who is demonstrating manifestations of a massive pulmonary embolism. Which of the following interventions should the nurse plan to take? Administer IM enoaparin along with the alteplase dose Hold direct pressure on puncture sites for up to 30min Administer aminocaproic acid IV prior to alteplase infusion Prepare to administer alteplase within 8hr of manifestation onset 9. A nurse is monitoring a client who takes aspirin 81 mg PO daily. The nurse should identify which of the following manifestations as adverse effects of daily aspirin therapy? (Select all that apply) Hypertension Coffee-ground emesis Tinnitus Paresthesias of the etremities Nausea 10. A nurse is caring for a client who has atrial fibrillation and a new prescription for dabigatran to prevent development of thrombosis. Which of the following medications is prescribed concurrently to treat an adverse effect of dabigatran Vitamin K1 Protamine Omeprazole Probenecid ------------------------------------ATI BOOK CH. 26--------------------------------------------- 11. A nurse is caring for a client who is receiving daily doses of oprelvekin. Which of the following laboratory values should the nurse monitor to determine effectiveness of this medication? Hemoglobin Absolute neutrophil count Platelet count Total white blood count 12. A nurse is preparing to administer fillgratism for the first time to a client who has just undergone a bone marrow transplant. Which of the following interventions is appropriate? Administer IM in a large muscle mass to prevent injury Ensure that the medication is refrigerated until just prior to administration Shake vial gently to mi well before withdrawing dose Discard vial after removing one dose of the medication 13. A nurse is monitoring a client who is receiving epoetin alfa for adverse effects. The nurse should identify which of the following findings as an adverse effect of this medication? (Select all that apply) Leukocytosis Hypertension Edema Blurred vision Headache 14. A nurse is assessing a client who has chronic neutropenia and who has been receiving filgratim. Which of the following actions should the nurse take to assess for an adverse effect of filgrastim? Asses for bone pain Assess for right lower quadrant pain Auscultate for crackles in the bases of the lungs Auscultate the chest to listen for a heart murmur ------------------------------------ATI BOOK CH. 27--------------------------------------------- 15. A nurse is preparing to administer a transfusion of 300mL of pooled platelets for a client who has severe thrombocytopenia. The nurse should plan to administer the transfusion over which of the following time frames? Within 30min/unit Within 60min/unit Within 2hr/unit Within 4hr/unit 16. A nurse is transfusing a unit of packed red blood cells (PRBCs) for a client who has an anemia due to chemotherapy. The client reports a sudden headache and chills. The client’s temperature is 2 degrees F higher than her baseline. In addition to notifying the provider, which of the following actions should the nurse take? (Select all that apply) Stop the transfusion Place the client in an upright position with feet down Remove the blood bag and tubing from the IV catheter Obtain a urine specimen Infuse detrose 5% in water through the IV 17. A nurse is preparing to transfuse a unit of packed red blood cells (PRBCs) for a client who has severe anemia. Which of the following interventions will prevent an acute hemolytic reaction? Ensure that the client has a patent IV line before obtaining blood product from the refrigerator Obtain help from another nurse to confirm the correct client and blood product Take a complete set of vital signs before beginning transfusion and periodically during the transfusion Stay with the client for the first 15 to 30 min of the transfusion 18. A nurse is caring for a hospitalized client who has an activated partial thromboplastin time (aPTT) greater than 1.5 times the epected reference range. Which of the following blood products should the nurse prepare to transfuse? whole blood platelets fresh frozen plasma packed red blood cells 19. A nurse is assessing a client during transfusion of a unit of whole blood. The client develops a cough, shortness of breath, elevated blood pressure, and distended neck veins. The nurse should anticipate a prescription for which of the following medications Epinephrine Lorazepam Furosemide Diphenhydramine --------------------------------PHARM BOOK CH. 30------------------------------------------- 20. A patient with type 1 diabetes on insulin therapy reports that he takes propranolol (Inderal) for hypertension. The nurse will teach the patient to check glucose levels more frequently because of what concern? The propranolol can produce insulin resistance.  The two drugs used together will increase the risk of ketoacidosis Propranolol will increase insulin requirements by antagonizing the effects at the receptors   The propranolol may mask symptoms of hypogylcemia 21. When monitoring for therapeutic effect of any antidysrhythmic drug, the nurse would be sure to assess which essential parameter? Pulse Blood pressure Drug level Hourly urine output 22. Verapamil (Calan, Covera-HS, Verelan) should be used with etra caution or is contraindicated in patients with which cardiovascular condition? Hypertension Tachycardia Heart failure Angina 23. Common adverse effects of antidysrhythmic medications include which of the following? (Select all that apply) Hypotension Hypertension Dizziness Weakness Panic attacks 24. A patient is given a prescription for propranolol (Inderal) 40 mg bid. What is the most important instruction the nurse should give to this patient? Take this medication on empty stomach, as food interferes with this absorption Do not stop taking this medication abruptly; the dosage must be decreased gradually if it is discontinued If the patient eperiences any disturbances in hearing, the patient should notify the healthcare provider immediately The patient may become very sleepy while taking the medication; do not drive. 25. A patient was admitted from the emergency department after receiving treatment for dysrhythmias. He will be started on amiodarone (Cordarone, Pacerone) due to the lack of therapeutic effects from his other antidysrhythmic therapy. When the nurse checks with him in the afternoon, he complains of feeling light-headed and dizzy. What will the nurse assess first? Whether there is the possibility of sleep deprivation from the stress of admission to the hospital Whether an allergic reaction is occurring with the anti-cholinergic like symptoms Whether the amiodarone level is not yet therapeutic enough to treat the dysrhythmias Whether the patient's pulse and blood pressure are within normal limits -----------------------------------PHARM BOOK CH. 31----------------------------------------- 26.  A patient with deep vein thrombosis is receiving an infusion of heparin and will be started on warfarin (Coumadin) soon. While the patient is receiving heparin, what laboratory test will provide the nurse with information about its therapeutic effects? Prothrombin time (PT) International normalized ratio (INR) Activated partial thromboplastin time (aPTT) Platelet count 27. The patient is receiving heparin therapy asks how the “blood thinner” works. What is the best response by the nurse? “Heparin makes the blood less thick.” “Heparin does not fit in the blood but prevents class from forming as easily in the blood vessels.” “Heparin decreases the number of platelets so the blood clots more slowly.” “Heparin dissolve the clot.” 28. What patient education should be included for a patient receiving enoaparin (Loveno) (Select all that apply) Teach the patient or family to give subcutaneous injections at home Teach the patient or family not to take any over-the-counter drugs without first consulting with the healthcare provider Teach the patient to observe for uneplained bleeding such as pink, red, or dark brown urine or bloody gums Teach the patient to monitor for the development of deep vein thrombosis Teach the patient about the importance of drinking grapefruit juice daily 29. A patient with congenital coagulation disorder is given aminocaproic acide (Amicar) to stop bleeding following surgery. The nurse will carefully monitor this patient for development of which of the following adverse effects? (Select all that apply) Anaphylais Hypertension Hemorrhage Headache Hypotension 30. A patient is receiving a thrombolytic drug, alteplase (Activase), following an acute myocardial infarction. Which of the following effects is most likely attributed to this drug? Skin rash with urticaria Wheezing with labor respirations Bruising and epistasis Temperature elevator to 38.2°C (100.8°F) 31. A patient has started clopodogrel (Plavi) after eperiencing a transient ischemic attack. What is the desired therapeutic effect of this drug? Anti-inflammatory and antipyretics effects To reduce the risk of a stroke from a blood clot Analgesic as well as clot dissolving to fi • Stop clots from becoming emboli ------------------------------------PHARM BOOK CH. 32---------------------------------------- 32. An older adult patient is diagnosed with iron deficiency anemia will be taking ferrous sulfate (Feosol). The nurse will teach which of the requires administration guidelines to the patient. (Select all that apply) Take the tablet on an empty stomach if possible Increase fluid intake and increase dietary fiber while taking this medication If fluid preparations are used, dilute with water or juice and sip through a straw placed in the back of the mouth Crush or dissolve sustained release tablets in water if they are too big to swallow Take the drug at bedtime for best results 33. When planning to teach the patient about the use of epoetin alfa (Epogen, Procrit), the nurse would give which of the following instructions? Eating raw fruits and vegetables must be avoided Frequent rest periods should be taken to avoid ecessive fatigue Skin and mucous membranes should be protected from traumatic injury Eposure to direct sunlight must be minimized and sunscreen used when outside 34. Darbepoetin (Aranesp) is ordered for each of the following patients. The nurse would question the order for which condition? A patient with chronic renal failure A patient with AIDS who receives anti-AIDS drug therapy A patient with hypertension A patient on chemotherapy for cancer 35. The nursing plan of care for a patient receiving oprevekin (Neumega) should include careful monitoring for symptoms of which adverse effect? Fluid retention Severe hypertension Impaired liver function Severe diarrhea 36. To best monitor for therapeutic effects from filgrastim (Grani, Neupogen), the nurse will assess which laboratory finding?  Hemoglobin and hematocrit White blood cell or absolute neutrophil counts Serum electrolytes Red blood cell count 37. A patient diagnosed with pernicious anemia is to start cyanocobalamin (Nascobal) injections. Which of the following patient statements demonstrates an understanding of the nurse’s teaching? (Select all that apply) “I need to be careful to avoid infections.” “I will need to take the drug for the rest of my life.” “I should increase my intake of foods that contain Vitamin B12.” “I need to take the liquid preparation through a straw.” “I may be able to switch over to nasal sprays once my vitamin  B12 levels are normal.” -------------------------------------------NCLE Ch. 30------------------------------------------ 38. In providing client teaching, the nurse should include which nonpharmacological treatments for dysrhythmias? (Select all that apply.) Cardiac pacemakers Cardioversion Electrocardiography Eercise stress test Defibrillation Catheter ablation 39. A client is scheduled for surgical placement of an implantable cardioverter defibrillator (ICD) for treatment of a dysrhythmia. Which eplanation by the nurse about the purpose of the ICD is most appropriate? It triggers electrical impulses to the heart It takes over the SA node function It blocks AV node transmission of impulses It increases ventricular conduction 40. Which is the priority nursing intervention for a client receiving quinidine sulfate (Quinide) for treatment of dysrhythmias? Monitoring for GERD Monitoring for constipation Monitoring blood glucose   Monitoring blood dyscrasias 41. A nurse is caring for a client who is prescribed procainamide for treatment of cardiac dysrhythmias. For which adverse effects should the nurse monitor the client while administering this drug? (Select all that apply.)  Blurred Vision Lupus-like syndrome Bone marrow depression   Complete heart block Elevated ANA titer Photosensitivity 42. A nurse is caring for a client receiving propranolol therapy. During assessment of the client, the nurse notes that the client is eperiencing severe hypotension and bradycardia. Which medications can the nurse epect to administer to manage this client’s condition? (Select all that apply.) Vasopressors Glucagon Phenothiazines Digoin Atropine 43. A client with type II diabetes mellitus is prescribed to take propranolol therapy for treatment of cardiac dysrhythmias. For which adverse effect should the nurse monitor in the client? Proteinuria Hypoglycemia Elevated liver enzymes Decreased ANA titers 44. The nurse notes third-degree heart block on the EKG of a client receiving diltiazem (Cardizem) for treatment of a supraventricular dysrhythmia. Which is the most appropriate action by the nurse? Administer the net dose as prescribed, and continue cardiac monitoring Treat the heart block, and continue administration of prescribed diltiazem Hold the net dose, document the EKG finding, and notify the physician Increase infusion of the IV fluids, and administer half the dose of diltiazem 45. A nurse working in the emergency department is preparing to administer propranolol. With which client conditions should the nurse anticipate administering this drug? (Select all that apply.)  Portal hypertension Asthma   Thyroid Crisis Angina Panic attack Migraine headache 46. A nurse is preparing to administer amiodarone (Cordarone) to a client with resistant ventricular tachycardia. Which client assessment must the nurse perform prior to administering the medication? Lung sounds Urine output Glucose level Bowel sounds 47. During a follow-up visit, a client who has been prescribed verapamil (Calan) for treatment of dysrhythmia reports muscle aches and weakness. The nurse should review the client’s medical history for which drug?  Diltiazem (Cardizem) Atenolol (Tenormin) Digoin (Lanoin) Atorvastatin (Lipitor) ----------------------------------------NCLE Ch 31---------------------------------------------- 48. A nurse is caring for a client receiving warfarin (Coumadin) therapy. The nurse should monitor the client for use of which drugs? (Select all that apply.) Diuretics Steroids Nicotine Barbiturates Alcohol 49. A nurse is caring for a client with epidural anesthesia following back surgery. The client is also receiving subcutaneous heparin 5,000 units twice daily for dep vein thrombosis (DVT) prophylais. What is the nurse’s priority action?  Monitor dose of the epidural anesthesia  Monitor effectiveness of pain management Monitor the client for respiratory depression Monitor the client’s neurological status 50. The client receiving heparin therapy asks how the medication works. Which response by the nurse is most accurate? “Heparin makes the blood less viscous, preventing further clotting” “Heparin dissolves the clot specifically in the affected blood vessels” “Heparin Inhibits clotting factors, thereby preventing formation of new clots” “Heparin decreases the number of platelets, so that blood clots more slowly” 51. A nurse is preparing discharge teaching for a client who will be receiving enoaparin (Loveno) injection. What should the nurse include in the teaching plan?  Teaching the client to self-administer subcutaneous injections Monitoring the client’s lab tests for hepatic impairment Teaching the client to observe for symptoms of anemia  Monitoring the client for development of deep vein thrombosis 52. The healthcare provider prescribes pentoifylline (Trental) to a client, who asks the nurse how the medication works. Which response by the nurse is most accurate? By dissolving clots in the blood vessels By decreasing platelet aggregation By reducing the viscosity of red blood cells By increasing platelet production 53. The nurse completes a physical assessment on a client receiving heparin therapy for deep vein thrombosis (DVT). The client complains of severe lumbar pain. What is the most appropriate action by the nurse? Reposition the client to promote comfort Document the finding, and report it to the net nurse Administer pain medications as prescribed Evaluate further, this could indicate a complication of drug therapy 54. A nurse is reviewing lab values of a client who is on warfarin (Coumadin) drug therapy. Which lab finding should the nurse report immediately to the healthcare provider? aPTT 48 seconds Bleeding time 7 seconds Platelet count 140,000 INR 1.2 55. A client is prescribed enoaparin (Loveno) for treatment of a newly diagnosed left lower etremity deep vein thrombosis (DVT). What information should the nurse obtain related to the administration of this drug?  Client’s weight Serum aPTT Serum PT/INR Angiogram results 56. Alteplase (Activase) is prescribed for a client with an acute episode of stroke. Which client evaluation is the nurse’s priority action? Monitoring aPTT and platelet count Monitoring PT and INR serum levels Monitoring level of consciousness (LOC) Monitoring injection sites 57. A nurse is caring for a client who is receiving alteplase (Activase) for treatment of an acute episode of myocardial infarction (MI). For which findings in the client’s history should the nurse be alert to determine the client’s risk for bleeding? (Select all that apply.) Use of ibuprofen for mild arthritis  Recent antibiotic therapy with erythromycin Intake of herbals such as ginger or garlic Recent trauma or surgery Use of SSRI such as fluetine ----------------------------------------NCLE Ch. 32--------------------------------------------- 58. A nurse is caring for a client with chronic renal failure who is receiving epoetin alfa. Which health-promotion strategy should the nurse include in the client’s plan of care?  Maintain adequate dietary intake of iron and folic acid Encourage frequent eercise or aerobic activity Monitor for signs of cardiac adverse effects Assess for symptoms of peripheral thrombosis 59. A client with a diagnosis of cancer is receiving epoetin alfa (Epogen, Procrit) as part of the treatment regimen. Which nursing action is most appropriate for determining the effectiveness of this drug? Assessing the client’s energy level Monitoring the hematocrit and hemoglobin levels Monitoring the client’s blood pressure Assessing the client’s level of consciousness 60. The nursing care plan for a client receiving epoetin alfa (Epogen, Procrit) should include careful monitoring for which symptom? Chest pain Severe hypotension Impaired liver function Severe diarrhea 61. What should the nurse anticipate as the rationale for administering filgrastim (Neupogen) to a client? Bone marrow transplant immunosuppressant  Diagnosis of acute lymphoblastic leukemia Treatment for non-Hodgkin’s lymphoma Neutropenia secondary to chemotherapy 62. The nurse should monitor the client receiving filgrastim (Neupogen) for which common adverse effect?  Hypoglycemia Elevated liver enzymes Elevated serum creatinine Bone pain 63. A nurse is caring for a client receiving sargramostim (Leukine). What should the nurse assess when administering this medication?  Blood pressure Respirations Level of consciousness Bowel sounds 64. The client receiving chemotherapy is prescribed oprelvekin (Neumega) as part of the treatment regimen. Which eplanation by the nurse of the rationale for the drug is most accurate? It promotes white blood cell production It reverses bone marrow suppression It stimulates platelet cell production It reduces ecessive immature white cells 65. The nurse teaches the client to immediately report to the healthcare provider which adverse reaction to oprelvekin (Neumega)? Difficulty breathing Nausea Muscle pain Thirst 66. A nurse is caring for a client who is receiving cyanocobalamin injections once a month. For what should the nurse monitor while the client is on this drug? Bone marrow depression Lack of intrinsic factor Hypokalemia Hemorrhage 67. A nurse is caring for a client receiving iron preparation for treatment of iron-deficiency anemia. What are nursing considerations for administering this drug? (Select all that apply.)  Monitor intravenous site for infiltration Give the medication close to bedtime Tablets may be crushed for ease of swallowing  Administer subcutaneously in the abdominal folds Avoid taking antacids at the same time as the iron prepaeration Take the medication 2 hours after a meal -----------------------------------ATI MODULE DRILLS----------------------------------------- 68. You are talking to a patient who is about to begin taking liquid ferrous sulfate (Feosol) to treat iron-deficiency anemia. Which of the following instructions should you include about the drug? (Select all that apply.) Swish in your mouth before swallowing it Drink through a straw Do not rinse your mouth after taking it Dilute it first with water Take it with food 69. You are caring for a patient who is about to begin taking cyanocobalamin (Nascobal), a vitamin B12 preparation. You should understand that the drug treats which of the following types of anemia? Pernicious Sickle cell Aplastic Iron-deficiency 70. Match the drug in the left column with its therapeutic use in the right column by typing the appropriate letter in the center column.  Folic acid Megaloblastic anemia Factor VIII Hemophilia A Filgrastim (Neupofen) Chronic neutropenia Heparin (Loveno) Deep-vein thrombosis 71. Before administering IV folic acid, you should eplain to the patient that the drug can cause which of the following adverse effects? Headache Nausea Dizziness Flushing 72. You are reviewing the history of a patient who is about to begin therapy with factor VIII (Advate) to treat hemophilia A. Which of the following drugs that the patient takes should alert you to take further action? Albuterol (Proventil) Phenytoin (Dilantin) Phenelzine (Nardil) Aspirin (Ecotrin) 73. You are caring for a patient who is taking warfarin (Coumadin) to prevent venous thrombosis. You should eplain that taking the drug requires daily blood samples to monitor of which of the following laboratory tests? Fibrinogen PT/INR Platelets aPTT 74. You are caring for a patient who is receiving alteplase (Activase) to dissolve a thrombus. Which of the following should you include in the care plan for the patient? (Select all that apply.) Monitor blood pressure Reposition frequently Limit venipunctures Check level of consciousness Apply pressure to oozing sites 75. Match the drug in the left column with its pharmacologic action in the right column by typing the appropriate letter in the center column. Filgrastim (neupogen) Stimulates leukocyte production Alteplase (Activase) Dissolves blood clots Epoetin alfa (Procrit) Stimulates RBC producion Clopidogrel (Plavi) Inhibits platelet aggregation 76. You are caring for a patient who is about to begin taking clopidogrel (Plavi) to prevent transient ischemic attacks. You should tell the patient to report which of the following adverse effects? (Select all that apply.) Petechiae Tinnitus Diaphoresis Weakness Vision changes 77. You are caring for a patient who is about to begin taking oprelvekin (Neumega) for thrombocytopenia. To evaluate the potential for adverse effects, you should monitor which of the following during drug therapy? Liver function Hearing ECG Level of consciousness 78. A provider prescribes IV heparin for this patient. Which of the following parameters should you monitor for in regard to determining if a therapeutic dose is being administered? INR, two to three times the patient’s baseline aPTT, one and a half to two times the patient’s baseline Platelet count of 100,00mm^3 PT 11-12.5 sec 79. Which of the following drugs should you have ready in case of heparin overdose? Aminicaproic acid (Amicar) Deferoamine (Desferal) Vitamin K Protamine 80. You should monitor a patient throughout continuous heparin therapy for which of the following adverse reactions? (Select all that apply) Thrombocytopenia Hypotension Hypokalemia Deep-vein thrombosis Fever 81. While the patient is still receiving continuous IV heparin, the provider prescribes oral warfarin (Coumadin). This is because warfarin takes 3 to 5 days to achieve therapeutic effects. warfarin takes 3 to 5 days to achieve therapeutic effects. warfarin takes 3 to 5 days to achieve therapeutic effects. warfarin takes 3 to 5 days to achieve therapeutic effects. 82. The provider discharges the patient to home with a prescription for warfarin (Coumadin). You should advise the patient to do which of the following? (Select all that apply.) Avoid taking NSAIDs. Use a disposable razor. Brush his teeth with a soft toothbrush. Increase intake of dark green, leafy vegetables. Ask the provider before taking over-the-counter drugs. Check bowel movements for signs of bleeding. ----------------------ATI HEMATOLOGIC SYSTEM POSTTEST------------------------------- 83. A healthcare professional is caring for a patient who is about to begin iron detran therapy when administering the drug a healthcare professional should take which of the following actions Administer a test dose Monitor blood pressure  Have epinephrine available Premedicate with atropine Uses the z track technique 84. A healthcare professional is caring for a patient who is about to begin taking alteplase (Activase) to treat acute myocardial infarction. the healthcare professional should understand the drug is most effective when the patient receives it 24 hr after clot formation after initiation of anticoagulation prior to clot formation within 3hr of symptom onset 85. A healthcare professional is caring for a patient who is about to begin taking filgrastim (Neupogen) to treat neutropenia. The healthcare professional should assess the patient for which of the following adverse affects? Dusky nail beds Petechiae Enlarged spleen Swollen calf 86. A healthcare professional is preparing to administer prescribed dose of filgrastim (Neupogen)to a patient. The patient's laboratory reports indicate that the patient has a wbc count of 12,000/mm3 which of the action should the healthcare professional take? Clarify the prescription with the provider Administer the drug with an analgesic Limit venipunctures Assess breath sounds 87. Epoetin Alpha is administered subcutaneously to a patient who has renal failure the healthcare professional should monitor for what adverse effects? Hypertension Muscle pain Edema Dry mouth 88. Patient is to begin taking oprelvekin what should the healthcare professional eplain about The following affects Stimulates leucocyte maturation Causes myelosuppresion Increases platelet production  Destroys blood clots 89. Patient is to begin taking warfarin and what should the healthcare professional caution about with the over-the-counter drugs Diphenhydramine Dimenhydrinate (Dramamine) Calcium carbonate (Tums) Ibuprofen (Motrin) 90. Patient is to begin taking our Oprelvekin (neumega) to treat thrombocytopenia what should the patient report as an indication of adverse reaction (select all that apply) Conjunctivitis Tinnitus Swollen ankles Jaundice Palpitations 91. Epoetin alpha (Epogen) subcutaneously given to a patient who has renal failure the healthcare professional should take what following actions? Shake the vial before using Insert the needle into the vial once Dilute the drug first with normal saline Save the used vial for then net dose 92. A health care professional is caring for a 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?  Weight loss Edema Polyuria Tachycardia 93. Patient is to begin taking alteplase (Activase) therapy what should the healthcare professional monitor the patient for which adverse effects Hives Headache Edema Hypertension 94. Patient is to begin taking aspirin (Eecotrin) to reduce the risk of cardiovascular event. Healthcare profession should understand that the drug inhibits platelet aggregation by which of the following mechanisms? Activating thromboane A2 Blocking adenosine diphosphate receptor agonists Suppressing specific clotting factors Inhibiting cyclooygenase action and platelets 95. A health care professional is caring for a patient who is about to begin taking ferrous sulfate (Feosol) to treat iron deficiency anemia. When taking with the patient about the drug, the health care professional should include which of the following instructions? (Select all that apply) Eat iron enriched foods  Spread the dosage across each day  Take the drug on an empty stomach Report dark green or black stools Increased dietary fiber 96. Patient is taking ferrous sulfate to treat iron deficiency anemia and develop severe nausea and vomiting due to iron toicity what should be used to treat the complication Flumazel (Mazicon) Acetylcysteine (Acetadote) Naloone Defroamine (Desferal) 97. Patient is to begin taking clopidogrel to prevent stent stenosis. the health care professional should monitor the patient for which of the following adverse reactions?  Thrombocytopenia Hyponatremia Lymphocytopenia Uricemia 98. Patient to begin therapy with recombinant factor I to treat hemophilia the patient asked about the disease transmission the healthcare professional should eplain the recombinant factor I eliminates the risk for what HIV Cytomegalovirus Creutzfeldt-Jakob disease Anaphylais 99. A health care professional is caring for a patient who is about to begin taking folic acid to treat megaloblastic anemia. The health care professional should monitor which of the following laboratory values?  Amylase level Reticulocyte level C-reactive protein Creatinine clerance 100. Patient is to begin factor VIII therapy to treat hemophilia A when administering it          what action should the healthcare professional take Have emergency equipment ready Premedicate with aspirin (Ecotin) Administer via rapid IV bolus Administer the powdered form orally 101. Patient is taking warfarin (coumadin) and arrives at the emergency department and          reports rectal bleeding what of the following drugs should be available Filgrastim (Neupogen) Deferoamin (Desferal) Protamine Vitamin K 102. Patient is to begin alteplase therapy to treat pulmonary embolism and what should             be available for the severe adverse reaction Vitamin K Aminocaproic acid (Amicar) Protamine Deferoamine (Desferal) 103. A health care professional is caring for a patient who is undergoing bone marrow transplantation following a high dose of chemotherapy. Which of the following drugs should the health care professional epect the primary care provider to prescribe to reduce the patient's risk of infection? Epoetin alfa (Erythropoeitin) Oprevelkin (Neumega) Filgrastim (Neupogen) Alteplase (Activase) 104. A healthcare professional should assess the patient was megaloblastic anemia for indications of which of the following vitamin deficiencies? Vitamin B12 Vitamin K Vitamin C Vitamin D 105. A patient is known to have a sensitivity to E. coli derived proteins the sensitivity is a contraindication of what drug Epoetin alfa (Erythropoeitin) Oprevelkin (Neumega) Filgrastim (Neupogen) Alteplase (Activase) 106. Patient is to begin taking clopidogrel to prevent thrombus formation what should the healthcare professional question if the patient that has Myocardial infarction Peptic ulcer disease Pancreatitis Myastenia gravis 107. Patient is to begin taking important epoetin Alfa (Epogen)what laboratory values should increase with effective therapy PT WBC Hgb Platelets