1.やさしい
Which of these drugs has a narrow therapeutic index?
- ALoratadine
- BOmeprazole
- CLithium
- DAmoxicillin
2.やさしい
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.やさしい
医薬品の一般名とは何ですか?
- A箱に印刷された化学式
- Bそれを作った薬局の名前
- C会社が販売のために選んだ名前
- D有効成分の非専有名
4.ふつう
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.ふつう
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.ふつう
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.むずかしい
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.むずかしい
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
解答
- 1. C · Lithium
- 2. A · Reduce raised intracranial pressure
- 3. D · 有効成分の非専有名
- 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
ステップごとの詳しい解答:このトピックは examproblems.com で練習できます。