Kaplan Pharmacology
Integrated Exam (Forms A, B,
C, D) | NGN
What happens if you swallow a nitroglycerin tablet?
If you accidentally swallow the tablet, take another. The medicine won't work if you
swallow it. For between-cheek-and-gum (buccal) tablets, place the tablet between your
cheek and gum. Leave it there until it dissolves. Nitroglycerin sublingual tablets should
not be chewed, crushed, or swallowed. They work much faster when absorbed through
the lining of the mouth.
A client is receiving 5% dextrose in 0.45% saline IV at 150 mL per hour in the forearm.
Which finding best indicates to the nurse the IV is infiltrated? - <<<<ANSWERS>>>The
client reports the arm is painful.
What are signs of an infiltration/extravasation?
Redness around the site.
Swelling, puffy or hard skin around the site.
Blanching (lighter skin around the IV site)
Pain or tenderness around the site.
IV not working.
Cool skin temperature around the IV site or of the scalp, hand, arm, leg or foot near the
site.
What is dextrose 5% IV used for?
Dextrose injection is a sterile solution used to provide your body with extra water and
carbohydrates (calories from sugar). It is used when a patient is not able to drink
enough liquids or when additional fluids are needed.
Dextrose 5 in .9 Sodium Chloride is a prescription medicine used to treat the symptoms
of Hypoglycemia. Dextrose 5 in .9 Sodium Chloride may be used alone or with other
medications.
The client is diagnosed with rheumatoid arthritis. The nurse instructs the client about
taking methotrexate. The nurse includes which statement? - <<<<ANSWERS>>>Report
any temperature increases to your health care provider immediately.
, Rheumatoid arthritis is a chronic inflammatory disorder that can affect more than just
your joints. In some people, the condition can damage a wide variety of body systems,
including the skin, eyes, lungs, heart and blood vessels.
An autoimmune disorder, rheumatoid arthritis occurs when your immune system
mistakenly attacks your own body's tissues. Unlike the wear-and-tear damage of
osteoarthritis, rheumatoid arthritis affects the lining of your joints, causing a painful
swelling that can eventually result in bone erosion and joint deformity. The inflammation
associated with rheumatoid arthritis is what can damage other parts of the body as well.
While new types of medications have improved treatment options dramatically, severe
rheumatoid arthritis can still cause physical disabilities.
Signs and symptoms of rheumatoid arthritis may include:
Tender, warm, swollen joints
Joint stiffness that is usually worse in the mornings and after inactivity
Fatigue, fever and loss of appetite
How does methotrexate work? Methotrexate calms your immune system, to help stop it
attacking your body's cells. This helps reduce the inflammation that causes swollen and
stiff joints in rheumatoid arthritis, thickened skin in psoriasis or damage to your bowel in
Crohn's disease (A chronic inflammatory bowel disease that affects the lining of the
digestive tract.). Methotrexate is not a painkiller.
Methotrexate may cause serious or life-threatening skin reactions. If you experience any
of the following symptoms, call your doctor immediately: fever, rash, blisters, or peeling
skin. Methotrexate may decrease the activity of your immune system, and you may
develop serious infections.
A school-aged child is to receive 1.2 million units of penicillin G potassium IV daily. The
medication is divided and given every 6 hours. The medication vial contains 300,000
units/mL. How many mL does the nurse minister per dose? - <<<<ANSWERS>>>1 mL
The nurse prepares to administer digoxin 0.01 mg/kg PO to a 2-month-old infant. The
infant weighs 5 kg.The sleeping infant's apical pulse is 70 bpm. The nurse takes which
most appropriate action? - <<<<ANSWERS>>>Withholds the medication and notifies
the health care provider immediately.
Digoxin belongs to the class of medicines called digitalis glycosides. It is used to
improve the strength and efficiency of the heart, or to control the rate and rhythm of the
heartbeat. This leads to better blood circulation and reduced swelling of the hands and
ankles in patients with heart problems.. It is used to treat congestive heart failure,
Integrated Exam (Forms A, B,
C, D) | NGN
What happens if you swallow a nitroglycerin tablet?
If you accidentally swallow the tablet, take another. The medicine won't work if you
swallow it. For between-cheek-and-gum (buccal) tablets, place the tablet between your
cheek and gum. Leave it there until it dissolves. Nitroglycerin sublingual tablets should
not be chewed, crushed, or swallowed. They work much faster when absorbed through
the lining of the mouth.
A client is receiving 5% dextrose in 0.45% saline IV at 150 mL per hour in the forearm.
Which finding best indicates to the nurse the IV is infiltrated? - <<<<ANSWERS>>>The
client reports the arm is painful.
What are signs of an infiltration/extravasation?
Redness around the site.
Swelling, puffy or hard skin around the site.
Blanching (lighter skin around the IV site)
Pain or tenderness around the site.
IV not working.
Cool skin temperature around the IV site or of the scalp, hand, arm, leg or foot near the
site.
What is dextrose 5% IV used for?
Dextrose injection is a sterile solution used to provide your body with extra water and
carbohydrates (calories from sugar). It is used when a patient is not able to drink
enough liquids or when additional fluids are needed.
Dextrose 5 in .9 Sodium Chloride is a prescription medicine used to treat the symptoms
of Hypoglycemia. Dextrose 5 in .9 Sodium Chloride may be used alone or with other
medications.
The client is diagnosed with rheumatoid arthritis. The nurse instructs the client about
taking methotrexate. The nurse includes which statement? - <<<<ANSWERS>>>Report
any temperature increases to your health care provider immediately.
, Rheumatoid arthritis is a chronic inflammatory disorder that can affect more than just
your joints. In some people, the condition can damage a wide variety of body systems,
including the skin, eyes, lungs, heart and blood vessels.
An autoimmune disorder, rheumatoid arthritis occurs when your immune system
mistakenly attacks your own body's tissues. Unlike the wear-and-tear damage of
osteoarthritis, rheumatoid arthritis affects the lining of your joints, causing a painful
swelling that can eventually result in bone erosion and joint deformity. The inflammation
associated with rheumatoid arthritis is what can damage other parts of the body as well.
While new types of medications have improved treatment options dramatically, severe
rheumatoid arthritis can still cause physical disabilities.
Signs and symptoms of rheumatoid arthritis may include:
Tender, warm, swollen joints
Joint stiffness that is usually worse in the mornings and after inactivity
Fatigue, fever and loss of appetite
How does methotrexate work? Methotrexate calms your immune system, to help stop it
attacking your body's cells. This helps reduce the inflammation that causes swollen and
stiff joints in rheumatoid arthritis, thickened skin in psoriasis or damage to your bowel in
Crohn's disease (A chronic inflammatory bowel disease that affects the lining of the
digestive tract.). Methotrexate is not a painkiller.
Methotrexate may cause serious or life-threatening skin reactions. If you experience any
of the following symptoms, call your doctor immediately: fever, rash, blisters, or peeling
skin. Methotrexate may decrease the activity of your immune system, and you may
develop serious infections.
A school-aged child is to receive 1.2 million units of penicillin G potassium IV daily. The
medication is divided and given every 6 hours. The medication vial contains 300,000
units/mL. How many mL does the nurse minister per dose? - <<<<ANSWERS>>>1 mL
The nurse prepares to administer digoxin 0.01 mg/kg PO to a 2-month-old infant. The
infant weighs 5 kg.The sleeping infant's apical pulse is 70 bpm. The nurse takes which
most appropriate action? - <<<<ANSWERS>>>Withholds the medication and notifies
the health care provider immediately.
Digoxin belongs to the class of medicines called digitalis glycosides. It is used to
improve the strength and efficiency of the heart, or to control the rate and rhythm of the
heartbeat. This leads to better blood circulation and reduced swelling of the hands and
ankles in patients with heart problems.. It is used to treat congestive heart failure,
