NUR334 HEMATOLOGY, ATI REVIEW QUESTIONS &
ANSWERS RATED 100% CORRECT.
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 plan to take?
Expel the air bubble from the prefilled syringe before injecting
Insert the needle completely into the clients tissue
Administer the injection in the client's thigh
Aspirate carefully after inserting the needle into the client's skin Answer -
Insert the needle completely into the clients tissue
rationale: enoxaparin is a deep SubQ injection.
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 Answer - Protamine
This reverses the anticoagulant effect of Heparin
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
Hold direct pressure on puncture sites for up to 30 minutes
Administer aminocaproic acid IV prior to alteplase infusion
Prepare to administer alteplase within 8 hr of manifestation onset Answer -
Hold direct pressure on puncture sites for up to 30 minutes
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 a
daily aspirin therapy? (Select all that apply.)
Hypertension
Coffee-ground emesis
, Tinnitus
Paresthesias of the extremities
Nausea Answer - Coffee-ground emesis
Tinnitus
Nausea
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 Answer - Omeprazole
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?
ANSWERS RATED 100% CORRECT.
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 plan to take?
Expel the air bubble from the prefilled syringe before injecting
Insert the needle completely into the clients tissue
Administer the injection in the client's thigh
Aspirate carefully after inserting the needle into the client's skin Answer -
Insert the needle completely into the clients tissue
rationale: enoxaparin is a deep SubQ injection.
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 Answer - Protamine
This reverses the anticoagulant effect of Heparin
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
Hold direct pressure on puncture sites for up to 30 minutes
Administer aminocaproic acid IV prior to alteplase infusion
Prepare to administer alteplase within 8 hr of manifestation onset Answer -
Hold direct pressure on puncture sites for up to 30 minutes
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 a
daily aspirin therapy? (Select all that apply.)
Hypertension
Coffee-ground emesis
, Tinnitus
Paresthesias of the extremities
Nausea Answer - Coffee-ground emesis
Tinnitus
Nausea
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 Answer - Omeprazole
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?
