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Nama: ____________________ Tanggal: ____________
1.Mudah
Ciclosporin and tacrolimus are used mainly to:
APrevent rejection of transplanted organs
BTreat bacterial infections after surgery
CLower high blood cholesterol
DRelieve acute pain after surgery
2.Mudah
Organ mana yang terutama memetabolisme sebagian besar obat?
AHati
BLimpa
CGinjal
DParu-paru
3.Mudah
What does "PRN" mean on a medication order?
ABefore meals
BAs needed
CEvery morning
DImmediately, once only
4.Sedang
A patient takes theophylline for COPD. Which advice is most important?
ATake extra doses when short of breath
BDrink plenty of grapefruit juice each morning to improve absorption
CAvoid potassium-rich foods such as bananas
DLimit coffee, tea and cola, because caffeine adds to the side effects
5.Sedang
An adult patient is due to receive digoxin. The apical pulse, counted for a full minute, is 52 beats per minute. What should the nurse do?
AGive the dose and recheck the pulse in one hour
BWithhold the dose and notify the prescriber
CGive half the dose and document the pulse
DGive the dose with food to slow absorption
6.Sedang
After instilling eye drops, why should the patient press gently on the inner corner of the eye for a minute or two?
ATo reduce drainage into the nose and absorption into blood
BTo make the pupil dilate faster
CTo stop the eye from producing tears for about an hour
DTo spread the drop evenly over the eyelid
7.Sulit
A patient on long-term prednisolone has been vomiting for two days and could not take her tablets. She is now hypotensive and confused, with low sodium and high potassium. What is the most urgent treatment?
AOral prednisolone with a glass of water
BIV furosemide
CIV hydrocortisone and IV fluids
DIV insulin with glucose only
8.Sulit
Mengapa sildenafil dikontraindikasikan pada pasien yang menggunakan nitrat untuk angina?
ASildenafil memblokir perubahan nitrat menjadi nitrat oksida di pembuluh darah
BKeduanya menaikkan cGMP di otot polos pembuluh dan dapat menyebabkan hipotensi berat
CKombinasinya menyebabkan hiperkalemia yang berbahaya
DNitrat memblokir metabolisme sildenafil di hati
Kunci jawaban
1. A · Prevent rejection of transplanted organs
2. A · Hati
3. B · As needed
4. D · Limit coffee, tea and cola, because caffeine adds to the side effects
5. B · Withhold the dose and notify the prescriber
6. A · To reduce drainage into the nose and absorption into blood
7. C · IV hydrocortisone and IV fluids
8. B · Keduanya menaikkan cGMP di otot polos pembuluh dan dapat menyebabkan hipotensi berat
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