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Nama: ____________________ Tanggal: ____________
1.Mudah
Which of these drugs has a narrow therapeutic index?
ALoratadine
BOmeprazole
CLithium
DAmoxicillin
2.Mudah
Mannitol is an osmotic diuretic used mainly to:
AReduce raised intracranial pressure
BPrevent blood clots
CTreat high blood pressure long term
DRaise serum potassium
3.Mudah
Apa yang dimaksud dengan nama generik suatu obat?
ARumus kimia yang tercetak di kemasan
BNama apotek yang membuatnya
CNama yang dipilih perusahaan untuk pemasaran
DNama nonpaten (non-proprietary) zat aktifnya
4.Sedang
What should the nurse teach a patient starting nitrofurantoin?
ATake it on an empty stomach with an antacid
BExpect blue urine, which shows that the drug is working well
CTake it with food, and the urine may turn dark yellow or brown
DStop it as soon as the burning settles
5.Sedang
A patient has oral mucositis after chemotherapy. Which advice is appropriate?
AUse an alcohol-based mouthwash several times a day to kill germs
BEat spicy and acidic foods to stimulate healing
CUse a soft toothbrush and rinse with saline or a bland mouthwash
DBrush hard with a firm toothbrush to remove debris
6.Sedang
A patient is starting doxazosin, an alpha-1 blocker. What should the nurse advise about the first dose?
AExpect a short rise in blood pressure after the dose
BTake it only if the urine is darker than usual
CTake it in the morning with a cup of strong coffee to stay alert
DTake it at bedtime, because it can cause dizziness and fainting
7.Sulit
An older patient with coronary artery disease is starting levothyroxine for hypothyroidism. Why is a low starting dose used?
AFast replacement raises cardiac oxygen demand and can cause angina
BHigh starting doses cause permanent hypothyroidism
CLevothyroxine causes severe hypoglycaemia in older patients
DOlder patients absorb levothyroxine much better, so small doses are all they need
8.Sulit
A noradrenaline infusion is running through a peripheral cannula. The skin around the site becomes pale, cold and hard. What should the nurse do?
ALeave the infusion running and recheck in 4 hours
BStop the infusion at that site and follow the extravasation protocol
CIncrease the rate to improve blood flow to the area
DApply heat and massage the area, then continue the infusion
Kunci jawaban
1. C · Lithium
2. A · Reduce raised intracranial pressure
3. D · Nama nonpaten (non-proprietary) zat aktifnya
4. C · Take it with food, and the urine may turn dark yellow or brown
5. C · Use a soft toothbrush and rinse with saline or a bland mouthwash
6. D · Take it at bedtime, because it can cause dizziness and fainting
7. A · Fast replacement raises cardiac oxygen demand and can cause angina
8. B · Stop the infusion at that site and follow the extravasation protocol
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