ATI RN
Anatomy of Hematologic System Questions
Question 1 of 5
A 60-year-old patient with chronic myeloid leukemia will be treated in the home setting and the nurse is preparing appropriate health education. What topic should the nurse emphasize?
Correct Answer: A
Rationale: The correct answer is A: The importance of adhering to the prescribed drug regimen. This is crucial for managing chronic myeloid leukemia effectively. Non-adherence can lead to disease progression and treatment failure. Option B is important but not as critical as medication adherence. Option C is generally good for overall health but not specific to managing the disease. Option D is irrelevant to the management of chronic myeloid leukemia.
Question 2 of 5
A nurse is monitoring a client following ferrous sulfate administration. The nurse should monitor the client for which of the following adverse effects?
Correct Answer: D
Rationale: The correct answer is D: Constipation. Ferrous sulfate is an iron supplement commonly associated with gastrointestinal side effects, including constipation. Iron can cause constipation by slowing down bowel movements. Phlebitis (A) is inflammation of a vein and is not a common adverse effect of ferrous sulfate. Dark (B) or orange-colored stools (C) are expected side effects of iron supplements due to the change in color caused by the iron, but they are not harmful. Constipation (D) is the most concerning adverse effect to monitor for as it can lead to discomfort and potential complications if left untreated.
Question 3 of 5
A nurse is teaching a client about taking ferrous sulfate to treat iron deficiency anemia. Which of the following instructions should the nurse include? (Select All)
Correct Answer: A
Rationale: The correct answer is A: Eat iron-enriched foods. Iron-enriched foods help increase iron levels in the body, supporting the treatment of iron deficiency anemia. The rationale is that consuming foods rich in iron can complement the effects of ferrous sulfate, aiding in the replenishment of iron stores. Summary: - B: Spreading the dosage throughout the day can help with better absorption, but it is not the priority instruction. - C: Taking the drug on an empty stomach can enhance absorption, but it may also cause stomach upset. - D: Reporting dark green or black stools is important to monitor for possible gastrointestinal bleeding, but it is not an instruction for taking ferrous sulfate.
Question 4 of 5
A nurse is reviewing the medication record of a client who is receiving alteplase following an acute myocardial infarction (MI). Which of the following medications should the nurse expect the client to be taking in addition to the alteplase?
Correct Answer: D
Rationale: The correct answer is D: Heparin. Alteplase is a thrombolytic medication used to dissolve blood clots in acute MI. Heparin is often given concurrently to prevent new clot formation while alteplase works on existing clots. Protamine (A) is used to reverse the effects of heparin, not typically given with alteplase. Desmopressin (B) is used for certain bleeding disorders, not routinely given with alteplase. Ferrous sulfate (C) is an iron supplement, not indicated for MI treatment.
Question 5 of 5
A nurse is caring for a client who is experiencing an acute ischemic cerebrovascular event due to a thrombus in a cerebral vessel. Which of the following drugs should the nurse expect to administer?
Correct Answer: A
Rationale: The correct answer is A: Alteplase. Alteplase is a thrombolytic medication used to dissolve blood clots and is crucial in treating acute ischemic cerebrovascular events caused by thrombus. It helps restore blood flow to the affected area of the brain. Aspirin (B) and Clopidogrel (C) are antiplatelet medications that prevent clot formation but do not dissolve existing clots. Heparin (D) is an anticoagulant that does not directly dissolve clots like Alteplase. Administering Alteplase promptly is essential to minimize brain damage in such emergencies.