ATI Hematologic System Exam With Verified Solutions

ATI Hematologic System Exam With Verified Solutions pt is about to begin iron dextran (INFeD). When administering the drug IM, the HCP should take which of the following actions? 1. Monitor BP ** Iron dextran can cause hypotension and hypersensitivity rxns 2. Administer a test dose ** to determine hypersensitivity and allow 1 hr for identifying b/c Iron dextran can cause hypersensitivity rxn 3.Have epinephrine available ** and monitor for skin rash, fever, and chills 4.Use Z-track technique ** to make sure to deposit it deep into the buttocks. Superficial injection can cause abscesses and brown discoloration of the skin HCP caring for pt who is about to begin taking altepase (Activase) to treat acute myocardial infarction. The HCP should understand the drug is most effect when the pt receives it within 3 hr of symptom onset. pt about to take filgrastim (Neupogen) to treat neutropenia. The HCP should assess the pt for which of the following adverse effects? Enlarged spleen ** with long term use, filgrastim, a leukopoietic growth factor, can cause an enlarged spleen. HCP should tell pt taking the drug to monitor and report abd pain or fullness. HCP is preparing to admin filgrastim (Neupogen) to a pt. The pt lab results indicate that the pt has a WBC count of 12,000/mm 3. Which of the following actions should the HCP take? Clarify the prescription with the provider HCP administers eopoetin alfa (Epogen) SC to a pt who has renal failure. The HCP should monitor the pt for which of the following adverse effects? Hypertension ** Epoetin alfa, an erythropoietic growth factor, can cause hypertension. The HCP should monitor BP and regulate it prior to initiating epoetin alfa; then monitor it during. For elevations, recommend a reduced dosage or anti-hypertensive drug pt is baout ot begin taking oprelvekin (Neumega). The HCP should explain to the pt tha the drug has which of the following effects? Increases platelet production ** Oprelvekin, a thrombopoietic growth factor, increases platelet production. It treats thrombocytopenia that is associated with myelosuppression. pt is about to begin taking warfarin (Coumadin). The HCP should caution the pt about taking which of the following OTC drugs? Ibuprofen (Motrin)