NURS 216 Pharm ATI Study Guide 2020 | Pharmacology Q5 - Hematology_Graded A

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 toxicity? Light yellow urine Report of tinnitus X 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? X Calcium gluconate Sodium bicarbonate Potassium chloride Magnesium sulfate 3. A nurse is assessing a client who is taking digoxin to treat heart failure. Which of the following findings is a manifestation of digoxin toxicity?Bruising Report of metallic taste Muscle pain X Report of anorexia 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 X Widened QRS complex Narrowed QT interval X Easy bruising X 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 X assist the client when she sits up or stands after taking this medication check for hypokalemia frequently due to the risk for propranolol toxicity ------------------------------------ATI BOOK CH. 25------------------------------------------- -- 6. A nurse is planning to administer subcutaneous enoxaparin 40 mg using a prefilled syringe of enoxaparin 40 mg/0.4 mL to an adult client following hip arthroplasty. Which of the following actions should the nurse plant to take?Expel air bubble from the prefilled syringe before injecting X 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 deepvein 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 X 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 enoxaparin along with the alteplase dose X 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 X Coffee-ground emesisX Tinnitus Paresthesias of the extremities X 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 X 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 X 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 administrationShake vial gently to mix well before withdrawing dose X 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 X Hypertension Edema Blurred vision X 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? X 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? X Within 30min/unit Within 60min/unitWithin 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)- - - - - -