ATI RN
ATI Hematologic System Quizlet Questions
Question 1 of 5
A patient with a diagnosis of acute myeloid leukemia (AML) is being treated with induction therapy on the oncology unit. What nursing action should be prioritized in the patient's care plan?
Correct Answer: A
Rationale: The correct answer is A: Protective isolation and vigilant use of standard precautions. This is the priority because patients with AML are at high risk for infections due to compromised immune systems. Isolation and strict infection control measures help prevent exposure to pathogens. B is incorrect as the main priority is infection prevention, not diet. C is incorrect as involving the family is important but not the priority. D is incorrect as pain monitoring is important but not the priority in this case.
Question 2 of 5
A nurse is preparing to administer a prescribed dose of desmopressin to a client who has hemophilia A. The client's laboratory results indicate that the client has a sodium level of 130 mEq/L. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Clarify the prescription with the provider. Desmopressin is contraindicated in clients with low sodium levels due to the risk of hyponatremia. By having a sodium level of 130 mEq/L, the client is at risk for further lowering of sodium levels if desmopressin is administered. Therefore, the nurse should clarify the prescription with the provider to ensure the safety of the client. B: Administer the drug with an analgesic - Irrelevant and not related to the administration of desmopressin in a client with hemophilia A and low sodium levels. C: Administer the required dose orally - The route of administration does not address the concern of potential hyponatremia with desmopressin. D: Assess factor IX levels - While important in managing hemophilia A, assessing factor IX levels does not address the immediate concern of potential harm from desmopressin administration in a
Question 3 of 5
A nurse is caring for a client who is taking clopidogrel to prevent stent restenosis. The nurse should monitor the client for which of the following adverse reactions?
Correct Answer: D
Rationale: The correct answer is D: Thrombocytopenia. Clopidogrel is an antiplatelet medication that works by preventing blood clots. Thrombocytopenia is a decrease in platelet count, which can lead to bleeding issues. Monitoring for thrombocytopenia is essential as it can be a potential adverse reaction of clopidogrel. A: Hyperuricemia is not typically associated with clopidogrel. B: Hyponatremia is not a common adverse reaction of clopidogrel. C: Lymphocytopenia is not a common side effect of clopidogrel. In summary, the nurse should monitor for thrombocytopenia as a potential adverse reaction when caring for a client taking clopidogrel.
Question 4 of 5
A nurse is caring for a client who is taking filgrastim to treat neutropenia. The nurse should assess the client for which of the following adverse effects?
Correct Answer: C
Rationale: The correct answer is C: Enlarged spleen. Filgrastim stimulates the production of neutrophils, which can lead to splenomegaly as the spleen stores a large number of these cells. This can cause symptoms such as abdominal discomfort or fullness. Dusky nail beds (A), petechiae (B), and swollen calf (D) are not typically associated with filgrastim therapy and are more likely related to other conditions or medications.
Question 5 of 5
A nurse is caring for a client who is about to begin taking aspirin to reduce the risk of a cardiovascular event. The nurse should identify that the drug inhibits platelet aggregation by which of the following mechanisms?
Correct Answer: D
Rationale: The correct answer is D: Inhibiting cyclooxygenase action in platelets. Aspirin works by irreversibly inhibiting cyclooxygenase, specifically COX-1, in platelets. By inhibiting COX-1, aspirin prevents the formation of thromboxane A2, which is a potent platelet aggregator. This action reduces platelet aggregation and ultimately decreases the risk of clot formation leading to a cardiovascular event. Choice A is incorrect because aspirin does not activate thromboxane A2, but rather inhibits its formation. Choice B is incorrect as aspirin does not block adenosine diphosphate receptors. Choice C is incorrect as aspirin does not suppress specific clotting factors, but rather inhibits platelet function through the mechanism described above.