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Nama: ____________________ Tanggal: ____________
1.Mudah
Mengapa beberapa pengobatan antibiotik harus dihabiskan sesuai resep?
AUntuk mengurangi kemungkinan bakteri yang tersisa menyebabkan kambuh atau resistansi
BKarena tubuh butuh beberapa hari untuk belajar membuat antibiotik sendiri
CAgar antibiotik tidak merusak hati
DAgar rasa antibiotik membaik seiring waktu
2.Mudah
Mengapa insulin diberikan melalui suntikan, bukan dalam bentuk tablet?
AInsulin hanya bekerja jika langsung mencapai otot rangka
BInsulin adalah protein yang akan tercerna di saluran cerna
CInsulin terlalu toksik bagi lapisan lambung
DTablet akan melepaskannya terlalu lambat
3.Mudah
Alendronate, used for osteoporosis, belongs to which class?
ABisphosphonates
BCorticosteroids
CThyroid hormones
DCalcium channel blockers
4.Sedang
While giving medicines, a patient says, "That pill looks different from the one I usually take." What should the nurse do?
AReassure the patient and give the pill anyway
BStop and recheck the order and the medicine before giving it
CGive the pill and check the chart afterwards
DExplain that only the staff decide which medicines are given
5.Sedang
A patient takes cholestyramine. How should other oral medicines be timed?
ATake them all at the same time as cholestyramine
BTiming does not matter, as cholestyramine is not absorbed
CMix them into the cholestyramine drink so they are taken together
DTake them 1 hour before or several hours after cholestyramine
6.Sedang
After a vaccination, why is a person asked to wait for a short time before leaving?
ATo watch for anaphylaxis, which usually starts within minutes
BTo make sure the injection site does not bruise
CTo measure the person's temperature for fever
DTo check that the vaccine has already created protective antibodies
7.Sulit
A patient taking carbimazole or methimazole (thiamazole) for Graves' disease reports a sore throat and fever. What should the nurse suspect and do?
AHypothyroidism; add levothyroxine at once
BA common cold; advise rest and fluids and continue the drug as usual
CThyroid storm; double the next dose of the drug
DAgranulocytosis; stop the drug and check the white cell count urgently
8.Sulit
A patient with heart failure on furosemide is also given metolazone, a thiazide-like diuretic. Which risk increases most?
ASevere hypokalaemia, hyponatraemia and dehydration
BSevere hypertension, tachycardia and fluid retention
CHypoglycaemia and weight gain
DHyperkalaemia and fluid overload
Kunci jawaban
1. A · Untuk mengurangi kemungkinan bakteri yang tersisa menyebabkan kambuh atau resistansi
2. B · Insulin adalah protein yang akan tercerna di saluran cerna
3. A · Bisphosphonates
4. B · Stop and recheck the order and the medicine before giving it
5. D · Take them 1 hour before or several hours after cholestyramine
6. A · To watch for anaphylaxis, which usually starts within minutes
7. D · Agranulocytosis; stop the drug and check the white cell count urgently
8. A · Severe hypokalaemia, hyponatraemia and dehydration
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