KAPLAN PHARM INTEGRATED EXAM ACTUAL EXAM ALL 75 QUESTIONS AND CORRECT DETAILED ANSWERS|ALREADY GRADED A+ Latest Update
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Course
KAPLAN PHARM
Institution
KAPLAN PHARM
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?
Withholds the medication and notifies the health care provider immediately.
Digoxin belongs t...
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KAPLAN PHARM INTEGRATED EXAM
2024-2025 ACTUAL EXAM ALL 75
QUESTIONS AND CORRECT DETAILED
ANSWERS|ALREADY GRADED A+ Latest
Update
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?
✓ 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?
✓ 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?
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✓ 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
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
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✓ 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 cause infection. Antibiotics such as rifampin will not work for
colds, flu, or other viral infections.
✓
✓ What is the major adverse effect of Rifampin?
✓ Rifampin will cause urine, saliva, sputum, sweat, teeth, and tears to turn a reddish-orange
to reddish-brown color. This is to be expected while you are using this medicine. This
effect may also cause soft contact lenses to become permanently discolored.
Th nurse reviews laboratory reports for a client receiving digoxin and furosemide. Which
✓ Digoxin is a type of medicine called a cardiac glycoside. It's used to control some heart
problems, such as irregular heartbeats (arrhythmias) including atrial fibrillation. It can
also help to manage the symptoms of heart failure, usually with other medicines.
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