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Nama: ____________________ Tanggal: ____________
1.Mudah
Koyok fentanil yang ditempelkan di kulit merupakan contoh rute apa?
ASublingual
BTransdermal
CIntradermal
DSubkutan
2.Mudah
Obat mana yang membalikkan efek heparin?
ANalokson
BProtamin sulfat
CVitamin K
DFlumazenil
3.Mudah
Rute pemberian mana yang menghindari metabolisme lintas pertama di hati?
AIntravena
BTablet oral
CLarutan oral
DSupositoria yang diletakkan tinggi di rektum
4.Sedang
A patient with suspected sepsis has blood cultures ordered and a first antibiotic dose due. What should the nurse do?
ATake the blood cultures first, then give the antibiotic at once
BWait for the culture results before giving any antibiotic
CGive the antibiotic only if the temperature is above 40 °C (104 °F)
DGive the antibiotic first, then take blood cultures the next day
5.Sedang
Which lab tests are monitored in a patient taking carbamazepine?
AFull blood count and serum sodium
BThyroid antibodies and cortisol
CINR and aPTT
DSerum amylase and lipase
6.Sedang
How should a patient take oral alendronate?
AWith breakfast and coffee to protect the stomach
BCrushed into yoghurt with calcium supplements
CWith milk at bedtime, then lying down straight away to aid absorption
DWith plain water on an empty stomach, staying upright for 30 minutes
7.Sulit
A woman has received a high-dose oxytocin infusion with large volumes of hypotonic fluid for many hours. She now has a headache, confusion and a low serum sodium. What is the most likely cause?
AWater intoxication from the antidiuretic effect of oxytocin
BExcessive salt in the infusion fluid
CAn allergic reaction to oxytocin causing brain swelling
DNormal tiredness after a long labour
8.Sulit
A patient with heart failure on furosemide is also given metolazone, a thiazide-like diuretic. Which risk increases most?
ASevere hypertension, tachycardia and fluid retention
BHypoglycaemia and weight gain
CSevere hypokalaemia, hyponatraemia and dehydration
DHyperkalaemia and fluid overload
Kunci jawaban
1. B · Transdermal
2. B · Protamin sulfat
3. A · Intravena
4. A · Take the blood cultures first, then give the antibiotic at once
5. A · Full blood count and serum sodium
6. D · With plain water on an empty stomach, staying upright for 30 minutes
7. A · Water intoxication from the antidiuretic effect of oxytocin
8. C · Severe hypokalaemia, hyponatraemia and dehydration
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