242 REAL EXAM QUESTIONS AND CORRECT ANSWERS
WITH RATIONALES (VERIFIED ANSWERS) |ALREADY
GRADED A+ .
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?
A.Vitamin k1
B.Protamine
C.Omeprazole
D.Probenecid - ANSWER-C. Omeprazole or another proton
pump inhibitor
is prescribed for a client who is taking dabigatran
and has abdominal pain and other GI findings that
can occur as adverse effects of dabigatran. The
,nurse should advise the client who has GI effects
to take dabigatran with food
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?
A. hemoglobin
B.Absolute neutrophil count
C.Platelet count
D.Total white blood count - ANSWER-C. The expected outcome
for oprelvekin is a platelet count greater than 50,000/mm^3.
A nurse is preparing to administer filgrastim for the first time
to a client who has just undergone a bone marrow transplant.
Which of the following interventions is appropriate?
A.Administer Im in a large
muscle mass to prevent
injury.
,B.Ensure that the medication is refrigerated until just prior to
administration.
C.Shake vial gently to mix well before withdrawing dose.
D.Discard vial after removing one dose of the medication -
ANSWER-D. Only one dose of filgrastim should be withdrawn
from the vial and the vial should then be discarded.
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)
A.Leukocytosis
B. hypertension
C.Edema
D.Blurred vision
, E. headache - ANSWER-B.hypertension is an adverse effect of
epoetin alfa that the nurse should monitor for throughout
treatment.
E.headache is an adverse effect of epoetin alfa
A nurse is assessing a client who has chronic
neutropenia and who has been receiving filgrastim.
Which of the following actions should the nurse take
to assess for an adverse effect of filgrastim?
A.Assess for bone pain.
B.Assess for right lower
quadrant pain.
C.Auscultate for crackles
in the bases of the
lungs.
D.Auscultate the chest to listen for a heart murmur -
ANSWER-A. Bone pain is a dose-related adverse effect
of filgrastim. It can be treated with
acetaminophen and, if necessary, an opioid
analgesic