Med Surg - The Hematologic System

Med Surg - The Hematologic System A healthcare professional is caring for a patient who is about to begin iron dextran (INFeD) therapy. When administering the drug IM, the healthcare professional should take which of the following actions? - Administer a test dose - Monitor blood pressure - Have epinephrine available - Use the Z-track technique A healthcare professional is caring for a patient who is about to begin taking clopidogrel (Plavix) to prevent thrombus formation. The healthcare professional should question the use of clopidogrel by a patient who has which of the following? Peptic ulcer disease A healthcare professional is caring for a patient who is about to begin taking clopidogrel (Plavix) to prevent stent stenosis. The healthcare professional should monitor the patient for which of the following adverse reactions? Thrombocytopenia 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 Within 3 hrs of symptom onset A healthcare professional should assess a patient who has megaloblastic anemia for indications of which of the following vitamin deficiencies? Vitamin B12 A healthcare professional is caring for a patient who is about to begin taking oprelvekin (Neumega) to treat thrombocytopenia. The healthcare professional should tell the patient to report which of the following indications of an adverse reaction? - Conjunctivitis - Swollen ankles - Palpitations 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 effects? Enlarged spleen A healthcare professional is caring for a patient who has mild hemophilia A and is about to begin taking desmopressin (DDAVP) to prevent bleeding. The healthcare professional should monitor for which of the following adverse reactions? Edema A healthcare professional is caring for a patient who is about to begin taking folic acid to treat megaloblastic anemia. The healthcare professional should monitor which of the following lab values? Reticulocyte count A healthcare professional is caring for a patient who us about to begin factor VIII (Advate) therapy to treat hemophilia A. When administering factor VIII, which of the following actions should the healthcare professional take? Have emergency equipment ready A healthcare professional is caring for a patient who is about to begin alteplase (Activase) therapy to treat pulmonary embolism. Which of the following drugs should the healthcare professional have available in the event of a severe adverse reaction? Aminocaproic acid (Amicar) 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 for which of the following? Creutzfeldt-Jakob disease A healthcare professional is caring for a patient who has a known sensitivity to Escherichia coli-derived proteins. This sensitivity is a contraindication for which of the following drugs? Filgrastim (Neupogen) A healthcare professional is caring for a patient who is about to begin taking aspirin (Ecotrin) to reduce the risk of a cardiovascular event. The healthcare professional should understand that the drug inhibits platelet aggregation by which of the following mechanisms? Inhibiting cyclooxygenase action in platelets A healthcare professional is preparing to administer the prescribed dose of filgrastim (Neupogen) to a patient. The patient's lab results indicate that the patient has a WBC count of 12,000/mm3. Which of the following actions should the healthcare professional take? Clarify the prescription with the provider A healthcare professional is caring for a patient who is about to begin taking oprelvekin (Neumega). The healthcare professional should explain to the patient that the drug has which of the following effects? Increases platelet production A healthcare 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 healthcare professional should include which of the following instructions? - Eat iron-enriched foods - Spread the dosage across each day - Take the drug on an empty stomach - Increase dietary fiber intake A patient who is taking warfarin (Coumadin) arrives at the emergency department and reports rectal bleeding. Which of the following drugs should the healthcare professional have available? Vitamin K A patient who is taking ferrous sulfate (Feosol) for iron-deficiency anemia develops severe nausea and vomiting due to iron toxicity. Which of the following drugs should the healthcare professional use to treat this complication? Deferoxamine (Desferal) A healthcare professional is administering epoetin alfa (Epogen) subcutaneously to a patient who has renal failure. The healthcare professional should take which of the following actions? Insert the needle into the vial once A healthcare professional is caring for a patient who is about to begin alteplase (Activase) therapy. The healthcare professional should monitor the patient for which of the following indications of a possible adverse effect? Headace A healthcare professional is caring for a patient who is about to begin taking warfarin (Coumadin). The healthcare professional should caution the patient about taking which of the following over-the-counter drugs? Ibuprofen (Motrin) A healthcare professional is caring for a patient who is about to begin taking epoetin alfa (Epogen). Which of the following lab values should increase with effective therapy? Hgb A healthcare professional administers epoetin alfa (Epogen) subcut to a patient who has renal failure. The healthcare professional should monitor the patient for which of the following adverse effects? Hypertension A healthcare professional is caring for a patient who is undergoing bone marrow transplantation following high-dose chemo. Which of the following drugs should the healthcare professional expect the PCP to prescribe to reduce the patient's risk of infection? Filgrastim (Neupogen)