WITH 75 QUESTIONS AND CORRECT ANSWERS |
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PHARMACOLOGY INTEGRATED LATEST VERSION 2026
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The nurse teaches the client about sublingual nitroglycerin administration. Which
client statement indicates further teaching is necessary? - CORRECT ANSWER ✔✔-
I will swallow frequently until the tablet completely dissolves.
Nitroglycerin is used to prevent angina (chest pain) caused by coronary artery
disease. This medicine is also used to relieve an angina attack that is already
occurring. Nitroglycerin belongs to the group of medicines called nitrates. It works
by relaxing the blood vessels and increasing the supply of blood and oxygen to the
heart while reducing its work load. When used regularly on a long-term basis, or
just before exercise or a stressful event, this helps prevent angina attacks from
occurring.
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? - CORRECT
ANSWER ✔✔- The client reports the arm is painful.
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,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? - CORRECT
ANSWER ✔✔- 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.
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, 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? - CORRECT
ANSWER ✔✔- 1 mL
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