question

A healthcare professional is caring for a patient who is about to begin iron dextran therapy when administering the drug a healthcare professional should take which of the following actions

answer

-Administer a test dose -Monitor blood pressure -Have epinephrine available -Use the z track technique

question

A healthcare professional is caring for a patient who is about to begin taking alteplase (Activase) to treat acute mycardial infarction. The healthcare professional should understand the drug is most effective when the patient receives it

answer

With in three hours of symptom onset

question

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?

answer

Enlarged spleen With long-term use, filgrastim, a leukpoietic growth factor, can cause an enlarged spleen. Health care professionals should tell patients taking the drug to monitor & report pain or fullness.

question

healthcare professional is preparing to administer prescribed dose of filgrastim him to a patient the patient's laboratory reports indicate that the patient has a wbc count of 12,000 which of the action should the healthcare professional take

answer

Clarify the prescription with the provider. Leukocytosis can occur with filgrastim therapy. Essential to monitor CBC twice per week & reduce the dosage or stop therapy for a WBC count above 10,000/mm. The health care professional should notify the provider of the patient's current WBC count & clarify the prescription prior to administration.

question

A health care professional administers epoetin alpha (Epogen) subcutaneously to a patient who has renal failure the healthcare professionals to monitor for what adverse affect

answer

Hypertension Can cause hypertension, should monitor BP & regulate it prior to initiating epoetin alfa therapy, then monitor it during therapy. For elevations, recommend a reduced dosage or antihypertensive drug therapy.

question

Patient is to begin taking oprelvekin what should the healthcare professional explain about The following affects

answer

Increases platelet production Oprelvekin, thrombopoietic growth factor, increases platelet production. It treats thrombocytopenia that is associated with myelosuppression.

question

Patient is to begin taking warfarin and what should the healthcare professional caution about with the over-the-counter drugs

answer

Ibuprofen NSAIDs, such as ibuprofen & especially aspirin, can increase the risk of bleeding for patients taking warfarin, anticoagulant.

question

Patient is to begin taking our Oprelvekin (neumega) to treat thrombocytopenia what should the patient report as an indication of adverse reaction

answer

-Conjunctivitis -Swollen ankles -Palpitations

question

Epoetin alpha subcutaneously given to a patient who has renal failure the healthcare professional should take what following action

answer

Insert the needle into the vile once. Instructions for administering the drug include inserting the needle into the vial only once. Health care professionals should also examine the solution & discard it if it is cloudy or discolored.

question

Patient has mild hemophilia A and is to begin taking desmopressin to prevent bleeding what should they monitor for adverse reaction

answer

Edema Desmopressin, antidiuretic hormone, can cause fluid retention & edema. Health care professionals should monitor fluid intake & output for patients receiving the drug therapy.

question

Patient is to begin taking alteplase therapy what should patient monitor for adverse effects

answer

Headache Alteplase, thrombolytic drug can cause intracranial bleeding. Monitor pt receiving drug for changes in LOC, HA, 1-sided weakness, & other indications of intracranial bleeding.

question

Patient is to begin taking aspirin to reduce the risk of cardiovascular event what should they understand and are the drug inhibits platelet aggregation by what mechanism

answer

Inhibiting cyclooxygenase action and platelets

question

A patient is to begin taking ferrous sulfate to treat iron deficiency anemia when taking the drug what should be included in the following instructions

answer

Eat iron enriched foods spread the dosage across each day take the drug on an empty stomach increased dietary fiber

question

Patient is taking ferrous sulfate to treat iron deficiency anemia and develop severe nausea and vomiting what should be used to treat the complication

answer

Deferoxamine

question

Patient is to begin taking clopidogrel to prevent stent stenosis what is the adverse reaction

answer

Thrombocytopenia

question

Patient to begin therapy with recombinant factor IX to treat hemophilia the patient asked about the disease transmission the healthcare professional should explain the recombinant factor IX eliminates the risk for what

answer

Creutzfeldt-jakob disease

question

Patient is to begin taking folic acid to treat megaloblastic anemia what is the laboratory value needed

answer

Reticulocyte count

question

Patient is to begin factor VIII therapy to treat hemophilia when administering it what action should the healthcare professional take

answer

Have emergency equipment ready

question

Patient is taking warfarin and arrives at the emergency department and reports rectal bleeding what of the following drugs should be available

answer

Vitamin K

question

Patient is to begin alteplase therapy to treat pulmonary embolism and what should be available for the severe adverse reaction

answer

...aminocaproic acid

question

Patient is undergoing bone marrow transplantation following a high dose of chemotherapy what drugs should they expect to help the patient's risk of infection

answer

Filgrastim neupogen

question

A healthcare professional should assess the patient was megaloblastic anemia for indications of which of the following vitamin deficiency

answer

Vitamin B 12

question

A patient is known to have a sensitivity to E. coli derived proteins the sensitivity is a contraindication of what drug

answer

Filgrastim neupogen

question

Patient is to begin taking clopidogrel to prevent thrombus formation what should the healthcare professional question if the patient that has

answer

Peptic ulcer disease

question

Patient is to begin taking important Epoetin Alfa what laboratory values would increase with therapy

answer

Hgb

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