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Nama: ____________________ Tanggal: ____________
1.Mudah
Dobutamine is mainly used to:
ATreat high blood pressure at home
BIncrease heart contractility in cardiogenic shock or acute heart failure
CSlow the heart rate in fast atrial fibrillation with low blood pressure
DDissolve clots in the coronary arteries
2.Mudah
Oxytocin is used in obstetrics mainly to:
AMature the fetal lungs before birth
BInduce or strengthen contractions and prevent postpartum bleeding
CStop preterm labour by relaxing the uterine muscle
DLower blood pressure in pre-eclampsia
3.Mudah
Why is HIV treated with a combination of antiretroviral drugs?
ABecause one drug alone causes no side effects
BTo suppress the virus and prevent drug resistance
CBecause each single drug cures only part of the infection
DTo make the treatment shorter, usually a few weeks
4.Sedang
Why is ketorolac given only for a short course?
AGI bleeding and kidney injury become more likely with longer use
BIt quickly loses all its pain-relieving effect because of tolerance
CIt is a strong opioid that causes addiction
DIt causes respiratory depression after a few days
5.Sedang
A patient is starting lisinopril. Which rare but serious adverse effect should the nurse teach the patient to report immediately?
AA harmless rash on the palms of the hands
BAn increase in appetite in the evening
CSwelling of the lips, tongue or face
DDarker skin after exposure to sunlight
6.Sedang
A patient is starting olanzapine. Which monitoring is most important over the following months?
AINR and platelet count
BPeak expiratory flow
CHearing tests and vision tests every month
DWeight, blood glucose and blood lipids
7.Sulit
Mengapa penyekat beta dapat menutupi tanda peringatan hipoglikemia pada penyandang diabetes?
AObat ini menghentikan pelepasan insulin sepenuhnya
BObat ini meredam gejala adrenergik seperti gemetar dan berdebar
CObat ini menaikkan gula darah sehingga hipoglikemia sama sekali tidak dapat terjadi
DObat ini menyebabkan demam yang menyembunyikan keringat
8.Sulit
A patient on adalimumab for rheumatoid arthritis has a fever and cough on the day of her next injection. What should the nurse advise?
AStop the drug permanently without telling the prescriber
BDouble the next dose to make up for the infection
CWithhold the injection and get the infection assessed first
DGive the injection, as it will help the fever
Kunci jawaban
1. B · Increase heart contractility in cardiogenic shock or acute heart failure
2. B · Induce or strengthen contractions and prevent postpartum bleeding
3. B · To suppress the virus and prevent drug resistance
4. A · GI bleeding and kidney injury become more likely with longer use
5. C · Swelling of the lips, tongue or face
6. D · Weight, blood glucose and blood lipids
7. B · Obat ini meredam gejala adrenergik seperti gemetar dan berdebar
8. C · Withhold the injection and get the infection assessed first
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