NURSING 216 Pharm ATI Study Guide
Pharm Q5- Hematology
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1. A nurse is assessing a client who is taking amiodarone to treat atrial fibrillation. Which of
the following findings is a manifestation of amiodarone toxicity?
Light yellow urine
Report of tinnitus
X Productive cough
Blue-gray skin dicoloration
2. A nurse is caring for a client who received IV verapamil to treat supraventricular
tachycardia (SVT). The client’s pulse rate is not 98/min and his blood pressure is 74/44
mm Hg. The nurse should anticipate a prescription for which of the follwoing IV
medications?
X Calcium gluconate
Sodium bicarbonate
Potassium chloride
Magnesium sulfate
3. A nurse is assessing a client who is taking digoxin to treat heart failure. Which of the
following findings is a manifestation of digoxin toxicity?
Bruising
Report of metallic taste
Muscle pain
X Report of anorexia
4. A nurse is assessing a client who has take procainamide to treat dysrhythmias for the last
12 months. The nurse should assess the client for which of the following adverse effects
of this medication? (Select all that apply)
Hypertension
X Widened QRS complex
Narrowed QT interval
X Easy bruising
X Swollen joints
5. A nurse is preparing to administer propranolol to a client who has a dysrhythmia. Which
of the following actions should the nurse plan to take
hold propranolol for an apical pulse greater than 100/min
administer propranolol to increase the client’s blood pressure
X assist the client when she sits up or stands after taking this medication
check for hypokalemia frequently due to the risk for propranolol toxicity
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6. A nurse is planning to administer subcutaneous enoxaparin 40 mg using a prefilled
syringe of enoxaparin 40 mg/0.4 mL to an adult client following hip arthroplasty. Which
of the following actions should the nurse plant to take?
Expel air bubble from the prefilled syringe before injecting
X Insert the needle completely into the client’s tissue
Administer the injection in the client’s thigh
Aspirate carefully after inserting the needle into the client’s skin
7. A nurse is caring for a hospitalized client who is receiving IV heparin for a deep-vein
thrombosis. The client begins vomiting blood. After the heparin has been stopped, which
of the following medications should the nurse prepare to administer?
Vitamin K1
Atropine
X Protamine
Calcium gluconate
8. A nurse is planning to administer IV alteplase to a client who is demonstrating
manifestations of a massive pulmonary embolism. Which of the following interventions
should the nurse plan to take? [Show Less]