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Nama: ____________________ Tanggal: ____________
1.Mudah
Montelukast, used in asthma, belongs to which drug class?
AInhaled corticosteroids
BLeukotriene receptor antagonists
CAntimuscarinic bronchodilators
DShort-acting beta-2 agonists
2.Mudah
Why do nurses wear chemotherapy-tested gloves and gowns when handling cytotoxic drugs?
ATo keep the drugs warm during the infusion
BBecause cytotoxic drugs are radioactive and give off radiation
CTo protect the drug from light
DTo avoid exposure to drugs that may cause cancer or birth defects
3.Mudah
Nitrofurantoin is used mainly to treat:
APneumonia
BBacterial meningitis in adults and children
CUncomplicated cystitis (lower urinary infection)
DBone infections
4.Sedang
After naloxone reverses an opioid overdose, why must the patient be watched closely?
ANaloxone may wear off before the opioid does, so breathing can slow again
BNaloxone itself causes respiratory depression at high doses
CNaloxone often causes severe low blood glucose a few hours after the dose
DNaloxone makes the opioid stay longer in the body
5.Sedang
A man taking tamsulosin is planning cataract surgery. What should the nurse advise?
AThe drug has no link with eye surgery
BTake a double dose on the day of surgery
CTell the eye surgeon, as it can cause floppy iris syndrome
DStop the drug for one day and no further action is needed
6.Sedang
How should a hyoscine (scopolamine) patch for motion sickness be used?
ASwallow it if no water is available
BCut it in half for children without advice
CApply it behind the ear several hours before travel
DApply it to the chest only after the vomiting has started
7.Sulit
A patient with severe chronic hyponatraemia receives hypertonic saline. Why is the rate of correction strictly limited?
AHypertonic saline is toxic to the liver at high rates
BRaising sodium too fast causes severe hypokalaemia and cardiac arrest
CFast correction causes immediate kidney failure
DRaising sodium too fast can cause osmotic demyelination in the brain
8.Sulit
Golongan obat apa yang dapat menyebabkan hiperkalemia yang mengancam jiwa bila digabung dengan penghambat ACE?
ADiuretik loop seperti furosemid intravena dosis tinggi
BDiuretik hemat kalium seperti spironolakton
CDiuretik tiazid
DPenghambat pompa proton
Kunci jawaban
1. B · Leukotriene receptor antagonists
2. D · To avoid exposure to drugs that may cause cancer or birth defects
3. C · Uncomplicated cystitis (lower urinary infection)
4. A · Naloxone may wear off before the opioid does, so breathing can slow again
5. C · Tell the eye surgeon, as it can cause floppy iris syndrome
6. C · Apply it behind the ear several hours before travel
7. D · Raising sodium too fast can cause osmotic demyelination in the brain
8. B · Diuretik hemat kalium seperti spironolakton
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