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.

Accepted Answer

Epoetin alfa therapy results in a slow rise in hematocrit at a rate of about 2% per week.

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.

Accepted Answer

The nurse divides the client's weight in pounds (143) by 2.2 (2.2 lb/kg) to determine that the client weighs 65 kg. That figure is multiplied by 50 units to achieve a dose of 3,250 units.

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.

Accepted Answer

If the leukocyte count exceeds 100,000 cells/mm³, the risk of serious adverse effects such as respiratory failure, intracranial hemorrhage or infarction, retinal hemorrhage, and myocardial infarction increases.

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.

Accepted Answer

Thrombocytopenia occurs when the platelet count falls below 150,000 mm³.

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.

Accepted Answer

Ticagrelor is an adenosine diphosphate (ADP) receptor blocker that acts to make platelets unable to aggregate, thus rendering them less "sticky."
Ticagrelor causes irreversible changes in platelet plasma membranes.
Ticagrelor does decrease the blood's ability to clot.

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.

Accepted Answer

Thrombolytic therapy increases the risk of bleeding from any invasive procedure. Pressure should be held on any puncture site for a minimum of 30 minutes.

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

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.

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.

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.

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.

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 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.

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.

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.