Deck 10: Hematologic Medications and Monitoring: Evaluating Therapy, Dosage Calculation, and Patient Education

Question 1

A client is receiving epoetin alfa (Epogen) therapy. The nurse would evaluate the therapy as successful if the client averages a ________% increase in hematocrit weekly.
Record your answer rounding to the nearest whole number.

Answer 1

2

Question 2

The healthcare provider has ordered epoetin alfa 50 units/kg subcutaneously three times weekly. Today the client weighs 143 lb. The nurse should administer ________ units of epoetin.
Record your answer rounding to the nearest whole number.

Answer 2

3,250

Question 3

The nurse is evaluating the laboratory results of a client who is receiving filgrastim (Neupogen). The nurse would be concerned if this client's leukocyte count exceeds ________ cells/mm³.
Record your answer rounding to the nearest whole number.

Answer 3

100,000

Question 4

The nurse is monitoring for the development of thrombocytopenia in a client receiving heparin therapy. The nurse determines that thrombocytopenia has occurred when the platelet count drops below ________ mm³.
Record your answer rounding to the nearest whole number.

Question 5

A client is prescribed ticagrelor (Brilinta) after a myocardial infarction and stent placement. How should the nurse explain the action of this medication to the client?
Select all that apply.

A) "It will dissolve any clots that might form in your stent."
B) "It will make the platelets in your blood less sticky."
C) "It will change the way your platelets work their entire lives."
D) "It decreases your blood's ability to clot."
E) "It works just like the heparin you have been on in the hospital."

Question 6

A nurse manager is making nurse assignments for care of clients who have just received thrombolytic therapy. The nurse specifically tells a new nurse, "Be certain to hold pressure on any puncture sites for at least ________ minutes."
Record your answer rounding to the nearest whole number.