ورقة عمل علم الأدوية مع الإجابات

What is the purpose of the Z-track technique for intramuscular injections?

1. ATo stop the drug leaking back into the subcutaneous tissue
2. BTo avoid the need to clean the skin
3. CTo allow a larger volume to be given than with a standard injection
4. DTo make the injection faster

With patient-controlled analgesia (PCA), who should press the button to give a dose?

1. AAny visitor who thinks the patient is in pain
2. BThe nursing assistant at set times
3. COnly the patient
4. DA family member when the patient is asleep

Nicotine replacement therapy is used to:

1. AMake cigarettes taste unpleasant
2. BRepair the lung damage caused by years of smoking
3. CBlock nicotine receptors completely
4. DReduce withdrawal and cravings when stopping smoking

A nurse has a needlestick injury from a patient with HIV. When should post-exposure prophylaxis start?

1. AAfter one week, when the risk of infection is clearer
2. BOnly after the nurse's HIV test turns positive
3. COnly if the patient's viral load is above a set level
4. DAs soon as possible, and within 72 hours at the latest

لماذا لا ينبغي إيقاف الكورتيكوستيرويدات الفموية طويلة الأمد فجأة؟

1. Aلأن الغدتين الكظريتين مثبطتان وقد لا تنتجان ما يكفي من الكورتيزول
2. Bلأن الجهاز المناعي سيهاجم الكبد والغدتين الكظريتين فورًا
3. Cلأن الدواء يكوّن مستقلبات سامة عند إيقافه
4. Dلأن الإيقاف يسبب ارتفاعًا مفاجئًا في سكر الدم

A patient with suspected sepsis has blood cultures ordered and a first antibiotic dose due. What should the nurse do?

1. AGive the antibiotic first, then take blood cultures the next day
2. BWait for the culture results before giving any antibiotic
3. CGive the antibiotic only if the temperature is above 40 °C (104 °F)
4. DTake the blood cultures first, then give the antibiotic at once

Beta-lactam antibiotics show time-dependent killing. What does this mean for administration?

1. ADoses should be given on time at evenly spaced intervals
2. BDoses can be given at any time as long as the daily total is right
3. CDoses should be given only when the patient has a fever
4. DA single very large daily dose works best

During an alteplase infusion for acute ischaemic stroke, the patient develops a sudden severe headache and her level of consciousness falls. What is the nurse's first action?

1. AGive a bolus of heparin to prevent a new clot
2. BSlow the infusion to half the rate and recheck in 30 minutes
3. CGive paracetamol for the headache and continue the infusion
4. DStop the alteplase infusion and notify the provider urgently