NURS 601 Pharm Hematological Medications Questions and Answers- University of San Francisco
3 views 0 purchase
Course
Nursing
Institution
Nursing
NURS 601 Pharm Hematological Medications Questions and Answers- University of San Francisco/NURS 601 Pharm Hematological Medications Questions and Answers- University of San Francisco/NURS 601 Pharm Hematological Medications Questions and Answers- University of San Francisco/NURS 601 Pharm Hematolo...
nurs 601 pharm hematological medications questions and answers university of san francisconurs 601 pharm hematological medications questions and answers university of san francisconurs 601 pharm h
Written for
Nursing
All documents for this subject (41012)
Seller
Follow
Timeless2024
Reviews received
Content preview
KEY:
All un-highlighted questions are required for Patho-Pharm 1
Red Text = Should Understand
Green Text = Absolutely Should Know
Yellow Highlight = Patho-Pharm 2 Material (Skip in Patho-Pharm 1)
Blue Highlight = Skip (In both Patho-Pharm 1 & 2)
Hematological Medications
1. A client is prescribed a liquid iron preparation that has the potential to stain the teeth. The nurse
should instruct the client to take which action to prevent staining of the teeth?
1. Brush the teeth before drinking the iron.
2. Drink the iron undiluted for maximal effect.
3. Dilute more than the amount prescribed to obtain the correct dosage.
4. Dilute the iron in juice, drink it through a straw, and rinse the mouth afterward.
Correct answer: 4
Rationale: Liquid iron preparations will stain the teeth. The best advice for the client who needs liquid
iron is to dilute the iron in juice or water, drink it through a straw, and rinse the mouth well afterward.
Brushing before taking the liquid iron would not be of any benefit. The nurse would not instruct a client
to take more than the prescribed amount.
2. A client is scheduled to take ticlopidine. The nurse plans to take which action before implementing this
medication therapy?
1. Take the client's blood pressure.
2. Obtain a prothrombin time (PT).
3. Take the client's apical heart rate.
4. Review the results of the complete blood cell (CBC) count.
Correct answer: 4
Rationale: Ticlopidine {Ticlid} is an antiplatelet agent that is used for the prevention of thrombotic
stroke. Ticlopidine's effects last for the life of the platelet, 7 to 10 days. Ticlopidine also can cause
neutropenia, which is an abnormally small number of mature white blood cells (WBCs). Baseline data
from a CBC count are necessary before implementation of therapy, and the nurse should monitor for
neutropenia during this medication therapy. If this adverse effect does occur, the health care provider is
,notified and therapy should be stopped. The effects of neutropenia are reversible within 1 to 3 weeks.
Options 1, 2, and 3 are actions that are not specific to this medication therapy.
3. A health care provider prescribed ticlopidine to the client with thrombotic stroke. The nurse provides
instructions to the client and spouse regarding the medication. Which statement made by the client
indicates that education was effective?
1. "I'll take the medicine with meals."
2. "If I do not feel well, I should skip the medication."
3. "I won't have another stroke if I take this medicine faithfully."
4. "If I have any gastrointestinal side effects, I should call the health care provider (HCP)."
Correct answer: 1
Rationale: Ticlopidine is an antiplatelet agent that is used to assist in preventing a thrombotic stroke.
Ticlopidine is best tolerated when taken with meals. The most common side effects are gastrointestinal
(GI) disturbances. Taking ticlopidine with meals tends to lessen those effects. It is not necessary to
contact the health care provider (HCP) if GI upset occurs. The client should not skip medications. The
medication is used to prevent strokes but does not guarantee that a stroke will not occur.
4. The home care nurse is making a monthly visit to a client with a diagnosis of pernicious anemia who
has been receiving a monthly injection of cyanocobalamin. Before administering the injection, the nurse
evaluates the effects of the medication and determines that a therapeutic effect is occurring if the client
makes which statement?
1. "I feel really lightheaded."
2. "I no longer have any nausea."
3. "I have not had any pain in a month."
4. "I feel stronger and have a much better appetite."
Correct answer: 4
Rationale: Cyanocobalamin is essential for DNA synthesis. It can take up to 3 years for the vitamin B12
stores to be depleted and for symptoms of pernicious anemia to appear. Symptoms can include
weakness, fatigue, anorexia, loss of taste, and diarrhea. To correct deficiencies, a crystalline form of
vitamin B12, cyanocobalamin, can be given intramuscularly. The client statements in options 1, 2, and 3
do not identify a therapeutic effect of the medication.
5. The nurse is providing dietary instructions to the client with anemia. The client tells the nurse that the
iron pills are very expensive and it will be difficult to pay for the pills and buy the proper food. What is
the most appropriate nursing response?
1. "You will have to find a way to afford both."
2. "You will be fine as long as you take the iron pills."
, 3. "Why don't you ask your family to help you out financially?"
4. "Would you like for me to check into some other options for you?"
Correct answer: 4
Rationale: Option 4 is correct because it validates the client's issue with cost. The nurse offers help in a
nonthreatening manner that will allow the client to accept or decline. Option 2 is incorrect because the
client needs to consume a proper diet. Options 1 and 3 block the communication process and are
nontherapeutic and nonhelpful statements.
6. The nurse provides instructions to a client who has a prescription for ticlopidine. Which statement
made by the client indicates a need for further teaching?
1. "I'll take my medicine with meals."
2. "Blood work will be done every 2 weeks for the first 3 months."
3. "I should not stop the medication without talking to my doctor first."
4. "Food will affect the medication, so I need to take the medication on an empty stomach."
Correct answer: 4
Rationale: Ticlopidine is an antiplatelet agent that is used for the prevention of thrombotic stroke.
Ticlopidine is best tolerated when taken with meals. Blood work is monitored closely, particularly in early
therapy, because the medication can cause neutropenia. A client should not stop medication without the
health care provider's permission.
7. The nurse is reviewing the health care provider's (HCP's) prescriptions for a client recently admitted to
the hospital and notes that the HCP has prescribed ticlopidine therapy. Which finding on the client's
record would indicate a need to contact the HCP before initiating the medication prescription?
1. Neutropenia
2. Client history of stroke
3. Client history of hypertension
4. Complaints of gastrointestinal disturbances
Correct answer: 1
Rationale: Neutropenia, or agranulocytosis, is the most serious adverse effect associated with the use of
ticlopidine. A baseline complete blood cell (CBC) count with differential will be performed for the client.
Neutropenia occurs most often within the first 3 months of therapy; therefore, a CBC with differential is
recommended every 2 weeks during the first 3 months. If a diagnosis of neutropenia is determined, the
client will be withdrawn from therapy. This medication is used to prevent a stroke and is not
contraindicated in hypertension. Gastrointestinal disturbances can occur as a result of taking the
medication, and the client is instructed to take the medication with food to minimize these side effects.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Timeless2024. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $16.98. You're not tied to anything after your purchase.
