ATI RN
Anatomy of Hematologic System Questions
Question 1 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 2 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 3 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.
Question 4 of 5
During haemostasis, prostacyclin
Correct Answer: B
Rationale: Prostacyclin is a vasodilator that inhibits platelet aggregation and promotes fibrinolysis. Vasodilation helps reduce blood pressure, improve blood flow, and prevent clot formation. Therefore, choice B is correct. Choice A is incorrect as prostacyclin does not cleave prothrombin. Choice C is incorrect as prostacyclin inhibits platelet aggregation. Choice D is incorrect as prostacyclin does not activate fibrinolysis.
Question 5 of 5
A laboratory finding of granulocytosis
Correct Answer: D
Rationale: The correct answer is D because granulocytosis refers to an increased number of granulocytes in both blood and bone marrow. This finding is commonly associated with conditions such as infections, inflammation, and certain hematologic disorders. Other choices are incorrect because A describes a condition of granulocytopenia, B is associated with acute bacterial infections but not specific to granulocytosis, and C refers to myeloproliferative disorders which may involve other cell types besides granulocytes.