Kaplan Pharmacology Integrated Proctored Exam
TEST D COMPLETE VERIFIED QUESTIONS AND
DETAILED SOLUTIONS LATEST UPDATE.pdf
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? - Answer-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,
usually in combination with a diuretic (water pill) and an
angiotensin-converting enzyme (ACE) inhibitor. It is also
used to treat a heart rhythm problem called atrial
fibrillation.
What is a normal apical pulse for an infant?
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newborn: 100-170 bpm. 6 months to 1 year: 90-130 bpm.
2 to 3 years: 80-120 bpm. 4 to 5 years: 70-110 bpm.
The nurse provides care for a client diagnosed with
Hodgkin's disease. The client received cyclophosphamide.
Which laboratory value does the nurse report to the
healthcare provider? - Answer-Platelets 40,000 mm3
(40x10^9/L)
A normal platelet count in adults ranges from 150,000 to
450,000 platelets per microliter of blood.
Hodgkin's lymphoma is a type of cancer that affects the
lymphatic system, which is part of the body's germ-fighting
immune system. In Hodgkin's lymphoma, white blood cells
called lymphocytes grow out of control, causing swollen
lymph nodes and growths throughout the body.
Cyclophosphamide is used to treat cancer of the ovaries,
breast, blood and lymph system, and nerves (mainly in
children). Cyclophosphamide is also used for
retinoblastoma (a type of eye cancer mainly in children),
multiple myeloma (cancer in the bone marrow), and
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mycosis fungoides (tumors on the skin). It belongs to the
group of cancer medicines called alkylating agents.
Cyclophosphamide is also used for some kinds of kidney
disease.
Cyclophosphamide interferes with the growth of cancer
cells, which are then destroyed by the body. Since the
growth of normal body cells may also be affected by
cyclophosphamide, other effects will also occur. Some of
these may be serious and must be reported to your doctor.
Other effects, like hair loss, may not be serious but may
cause concern. Some effects may not occur for months or
years after the medicine is used.
The nurse instructs a client who is to take rifampin. The
nursing informs the client that which adverse effect may
occur? - Answer-Orange-colored urine
Rifampin is used together with other medicines to treat
tuberculosis (TB) in many different parts of the body. It is
also used by patients who have meningitis bacteria in their
nose or throat who do not show symptoms of the infection
to prevent the spread of the bacteria to other patients.
Rifampin is in a class of medications called
antimycobacterials. It works by killing the bacteria that