1.やさしい
Which drug is the antidote for magnesium sulfate toxicity?
- ANaloxone
- BPotassium chloride
- CProtamine sulfate
- DCalcium gluconate
2.やさしい
Why is magnesium sulfate given to a woman with severe pre-eclampsia?
- ATo raise her blood pressure
- BTo treat a urinary infection
- CTo start labour contractions
- DTo prevent eclamptic seizures
3.やさしい
In Addison's disease, fludrocortisone is given to replace which hormone?
- AAldosterone
- BAdrenaline
- CCortisol
- DThyroxine
4.ふつう
Methylergometrine (methylergonovine) is prescribed for postpartum bleeding. Which finding would make the nurse withhold it and check with the prescriber?
- AHeart rate of 88 per minute
- BHaemoglobin slightly below normal
- CBlood pressure of 160/105 mmHg
- DTemperature of 37.2 °C (99 °F)
5.ふつう
Why is testing for HLA-B*15:02 recommended before carbamazepine in people of some Asian ancestries?
- AThis gene variant makes carbamazepine ineffective
- BIt greatly raises the risk of Stevens–Johnson syndrome
- CThis gene variant causes carbamazepine to raise blood glucose
- DThis gene variant speeds up the kidney excretion of carbamazepine
6.ふつう
A prescriber gives a verbal medication order in an emergency. What should the nurse do?
- AWrite it down and read it back to the prescriber to confirm
- BAsk another nurse to remember the order
- CRemember it and write it in the chart at the end of the shift
- DGive the drug without recording the order
7.むずかしい
A patient on long-term lithium passes large amounts of dilute urine and is always thirsty. What is the most likely explanation?
- ALithium causes type 1 diabetes by destroying the pancreatic beta cells
- BThe patient is drinking too much and lithium is unrelated
- CLithium increases ADH release from the pituitary
- DLithium blocks the kidney's response to ADH (nephrogenic diabetes insipidus)
8.むずかしい
A drug is ordered at 5 micrograms/kg/min for an 80 kg patient. The infusion contains 1,600 micrograms per mL. What rate in mL/h is needed?
- A25 mL/h
- B15 mL/h
- C4 mL/h
- D150 mL/h
解答
- 1. D · Calcium gluconate
- 2. D · To prevent eclamptic seizures
- 3. A · Aldosterone
- 4. C · Blood pressure of 160/105 mmHg
- 5. B · It greatly raises the risk of Stevens–Johnson syndrome
- 6. A · Write it down and read it back to the prescriber to confirm
- 7. D · Lithium blocks the kidney's response to ADH (nephrogenic diabetes insipidus)
- 8. B · 15 mL/h
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