1 Exampromax - Stuvia US 2025/2026
Pharmacology Made Easy 4.0 The Hematologic
System Questions and Answers (100% Correct
Answers) Already Graded A+
A nurse is monitoring a client who is undergoing anticoagulant therapy
with heparin. Which of the following findings should nurse identify as a
possible indication of hemorrhage?
a. Rapid Pulse
b. Yellowing of the sclera
c. Elevated blood pressure
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d. Pale-colored stools
Ans: a. Rapid Pulse
Exampromax - Stuvia US
In the event of a moderate to severe hemorrhage, the volume of blood in the
circulatory system decreases significantly, resulting in hypotension. Tachycardia
is a compensatory mechanism of the heart that serves to combat the hypotension
that results from the decreased volume of blood. Tachycardia can be detected by
checking the client's pulse.
A nurse is caring for a client who is experiencing an acute ischemic
cerebrovascular event due to thrombus in cerebral vessel. Which of the
following drugs should the nurse expect to administer?
a. Alteplase
b. Aspirin
c. Clopidrogel
d. Heparin
Ans: a. Alteplase
Alteplase is a thrombolytic drug, meaning it can dissolve existing thrombi,
whereas anticoagulant/antiplatelet drugs do not. An acute ischemic
cerebrovascular event is often caused by the occlusion of a cerebral vessel by a
thrombus. Administration of alteplase should be within 3 hr of the original onset
of symptoms for the drug to be effective.
, 2 Exampromax - Stuvia US 2025/2026
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?
a. Hypertension
b. Muscle pain
c. Edema
d. Dry mouth
Ans: a. Hypertension
Epoetin, an erythropoietic growth factor, can cause hypertension. The nurse
should monitor the client's BP before and during therapy and inform the provider
if it increases.
© 2025 Assignment Expert
A nurse is caring for a client who is about to begin taking aspirin to reduce
Exampromax - Stuvia US
the risk of a cardiovascular event. The nurse should identify that the drug
inhibits platelet aggregation by which of the following mechanisms?
a. Activating thromboxane A2
b. Blocking adenosine diphosphate receptor agonists
c. Suppressing specific clotting factors
d. Inhibiting cyclooxygenase action in platelets
Ans: d. Inhibiting cyclooxygenase action in platelets
Salicylates, such as aspirin, work by inhibiting platelet aggregation. They do this
by blocking the action of cyclooxygenase on platelets. As a result, activation of
thromboxane A2 does not occur.
A nurse is administering epoetin intravenously to a client who has renal
failure. Which of the following actions should the nurse take?
a. Shake the vial before using.
b. Administer via IV bolus over 1 to 3 min.
c. Dilute the drug first with D5W.
d. Save the used vial for the next dose.
Pharmacology Made Easy 4.0 The Hematologic
System Questions and Answers (100% Correct
Answers) Already Graded A+
A nurse is monitoring a client who is undergoing anticoagulant therapy
with heparin. Which of the following findings should nurse identify as a
possible indication of hemorrhage?
a. Rapid Pulse
b. Yellowing of the sclera
c. Elevated blood pressure
© 2025 Assignment Expert
d. Pale-colored stools
Ans: a. Rapid Pulse
Exampromax - Stuvia US
In the event of a moderate to severe hemorrhage, the volume of blood in the
circulatory system decreases significantly, resulting in hypotension. Tachycardia
is a compensatory mechanism of the heart that serves to combat the hypotension
that results from the decreased volume of blood. Tachycardia can be detected by
checking the client's pulse.
A nurse is caring for a client who is experiencing an acute ischemic
cerebrovascular event due to thrombus in cerebral vessel. Which of the
following drugs should the nurse expect to administer?
a. Alteplase
b. Aspirin
c. Clopidrogel
d. Heparin
Ans: a. Alteplase
Alteplase is a thrombolytic drug, meaning it can dissolve existing thrombi,
whereas anticoagulant/antiplatelet drugs do not. An acute ischemic
cerebrovascular event is often caused by the occlusion of a cerebral vessel by a
thrombus. Administration of alteplase should be within 3 hr of the original onset
of symptoms for the drug to be effective.
, 2 Exampromax - Stuvia US 2025/2026
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?
a. Hypertension
b. Muscle pain
c. Edema
d. Dry mouth
Ans: a. Hypertension
Epoetin, an erythropoietic growth factor, can cause hypertension. The nurse
should monitor the client's BP before and during therapy and inform the provider
if it increases.
© 2025 Assignment Expert
A nurse is caring for a client who is about to begin taking aspirin to reduce
Exampromax - Stuvia US
the risk of a cardiovascular event. The nurse should identify that the drug
inhibits platelet aggregation by which of the following mechanisms?
a. Activating thromboxane A2
b. Blocking adenosine diphosphate receptor agonists
c. Suppressing specific clotting factors
d. Inhibiting cyclooxygenase action in platelets
Ans: d. Inhibiting cyclooxygenase action in platelets
Salicylates, such as aspirin, work by inhibiting platelet aggregation. They do this
by blocking the action of cyclooxygenase on platelets. As a result, activation of
thromboxane A2 does not occur.
A nurse is administering epoetin intravenously to a client who has renal
failure. Which of the following actions should the nurse take?
a. Shake the vial before using.
b. Administer via IV bolus over 1 to 3 min.
c. Dilute the drug first with D5W.
d. Save the used vial for the next dose.
