The Hematologic System ATI Pharmacology 4.0 Exam Questions With 100% Verified Ansswers

The Hematologic System ATI Pharmacology 4.0 Exam Questions With 100% Verified Ansswers A nurse should identify that clopidogrel is contraindicated for clients who have which of the following conditions? A.Peptic Ulcer Disease B. Myocardial infarction C.Pancreatitis D.Myastenia Answer: Peptic ulcer disease: Clients who have peptic ulcer disease should not take clopidogrel because it can cause gastric bleeding. 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.Pale -colored stools B. Yellowing of the sclera C.Rapid Pulse D. Elevated blood pressure Answer: Rapid Pulse: In the event of a moderate to severe hemorrhage, the volume of blood in the circulatory system decreases significantly, resulting in hypotension. Tachycardia is 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 about to begin taking epoetin. An increase in which of the following laboratory values should indicate to the nurse that the therapy is effective? A. WBC B. Hgb C.PT D.INR Answer: HgB Epoetin, an erythropoietic growth factor, increases the production of RBCs for clients who have anemia due to chronic renal failure for chemotherapy. Hgb and Hct Should increase with effective therapy. A nurse is caring for a client who is taking clopidogrel to prevent stent restenosis. The nurse should monitor the client for which of the following adverse reactions? A. Hyperuricemia B. Hyponatremia C. Lymphocytopenia D.Thrombocytopenia Answer:Thrombocytopenia: Clopidogrel, an antiplatelet drug, can cause thrombotic thrombocytopenic purpura. The nurse should monitor the client's platelet count and also monitor for bruising, bleeding gums, and petechiae. A nurse is caring for a client who has hemophilia A and is about to begin taking desmopressin to prevent bleeding. The nurse should monitor the client for which of the following adverse reactions? A. Weigh loss B. Edema C. polyuria D.Bradycardia Answer: Desmopressin: an antidiuretic hormone, can cause fluid retention and edema. The nurse should monitor fluid intake and output for clients receiving this drug.