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Nama: ____________________ Tanggal: ____________
1.Mudah
What is a "broad-spectrum" antibiotic?
AOne that is taken for a long time at low dose to prevent any infection
BOne that acts against many Gram-positive and Gram-negative bacteria
COne that also treats viral and fungal infections
DOne that is given only intravenously in hospital
2.Mudah
What is a "superinfection" during antibiotic treatment?
AA new infection because normal body flora are disturbed
BAn infection that spreads from one patient to another on the ward
CAn infection that is cured by a single antibiotic dose
DA very severe form of the original infection
3.Mudah
Before giving any medication, how should the nurse identify the patient?
ARead the name on the sign next to the door
BAsk "Are you Mr Jones?" and wait for a nod
CUse two identifiers, such as full name and date of birth
DCheck the room and bed number against the medication chart
4.Sedang
Why should a patient rinse the mouth after using an inhaled corticosteroid?
ATo make the drug work faster in the lungs
BTo reduce the risk of oral thrush (candidiasis) and hoarseness
CTo stop the drug being absorbed too quickly into the blood
DTo prevent a fall in blood glucose
5.Sedang
A patient with diabetes is sweaty and shaky. Blood glucose is 3,0 mmol/L (54 mg/dL). The patient is awake and can swallow. What should the nurse do first?
AGive 15–20 g of fast-acting carbohydrate, such as juice
BGive the next scheduled dose of insulin
CGive a large meal high in fat and protein to keep glucose up for longer
DGive intramuscular glucagon at once
6.Sedang
A patient refuses a prescribed oral medicine. What should the nurse do?
ARecord the medicine as given, so that the chart stays complete for the next shift
BExplore the reason, respect the decision, document and inform the prescriber
CHide the tablet in the patient's food
DLeave the tablet on the bedside table for later
7.Sulit
A patient's record shows anaphylaxis to penicillin. Amoxicillin has been prescribed. What should the nurse do?
AWithhold it and contact the prescriber, as amoxicillin is a penicillin
BGive the amoxicillin with an antihistamine to prevent a reaction
CGive half the dose and observe for a reaction
DGive the amoxicillin, as it belongs to a different antibiotic group
8.Sulit
An older patient who has taken omeprazole for many years has muscle cramps, tremor and an irregular heartbeat. Which lab finding is most likely linked to the drug?
AHigh serum sodium
BLow serum magnesium
CLow serum glucose
DHigh serum calcium
Kunci jawaban
1. B · One that acts against many Gram-positive and Gram-negative bacteria
2. A · A new infection because normal body flora are disturbed
3. C · Use two identifiers, such as full name and date of birth
4. B · To reduce the risk of oral thrush (candidiasis) and hoarseness
5. A · Give 15–20 g of fast-acting carbohydrate, such as juice
6. B · Explore the reason, respect the decision, document and inform the prescriber
7. A · Withhold it and contact the prescriber, as amoxicillin is a penicillin
8. B · Low serum magnesium
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