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Nama: ____________________ Tanggal: ____________
1.Mudah
What is the purpose of the Z-track technique for intramuscular injections?
ATo make the injection faster
BTo avoid the need to clean the skin
CTo stop the drug leaking back into the subcutaneous tissue
DTo allow a larger volume to be given than with a standard injection
2.Mudah
Which vitamin reverses the effect of warfarin?
AVitamin E
BVitamin C
CVitamin K
DVitamin B12
3.Mudah
Oseltamivir is used to treat or prevent which infection?
AHIV
BTuberculosis
CHerpes simplex
DInfluenza
4.Sedang
Agonis parsial diberikan bersama agonis penuh dosis tinggi. Apa yang terjadi pada responsnya?
ARespons turun, karena agonis parsial bersaing memperebutkan reseptor
BRespons tetap persis sama seperti pada dosis tinggi agonis penuh saja
CRespons berlipat dua, karena kedua obat mengaktifkan reseptor
DRespons naik melebihi maksimum agonis penuh
5.Sedang
During an infusion of a vesicant chemotherapy drug, the patient reports burning, and the site is swollen. What should the nurse do first?
AFlush the line with a large volume of saline
BStop the infusion, leave the cannula in and follow the protocol
CIncrease the infusion rate to finish quickly
DRemove the cannula at once and massage the area firmly
6.Sedang
A patient is starting lisinopril. Which rare but serious adverse effect should the nurse teach the patient to report immediately?
AAn increase in appetite in the evening
BA harmless rash on the palms of the hands
CSwelling of the lips, tongue or face
DDarker skin after exposure to sunlight
7.Sulit
Beta-lactam antibiotics show time-dependent killing. What does this mean for administration?
AA single very large daily dose works best
BDoses should be given only when the patient has a fever
CDoses should be given on time at evenly spaced intervals
DDoses can be given at any time as long as the daily total is right
8.Sulit
A patient on heparin for 7 days has a platelet count that has fallen by more than half, and a new leg vein thrombosis. What is the most likely cause and the key action?
AVitamin K deficiency; give vitamin K and continue heparin
BNormal dilution of platelets; continue and recheck in a week
CHeparin-induced thrombocytopenia; stop all heparin
DWarfarin skin necrosis; switch from heparin to warfarin at once
Kunci jawaban
1. C · To stop the drug leaking back into the subcutaneous tissue
2. C · Vitamin K
3. D · Influenza
4. A · Respons turun, karena agonis parsial bersaing memperebutkan reseptor
5. B · Stop the infusion, leave the cannula in and follow the protocol
6. C · Swelling of the lips, tongue or face
7. C · Doses should be given on time at evenly spaced intervals
8. C · Heparin-induced thrombocytopenia; stop all heparin
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