1.やさしい
What does "PRN" mean on a medication order?
- AImmediately, once only
- BEvery morning
- CAs needed
- DBefore meals
2.やさしい
Disulfiram is used in alcohol use disorder because it:
- ACures liver damage caused by alcohol
- BCauses an unpleasant reaction if alcohol is drunk
- CReplaces alcohol at its receptors in the brain
- DRemoves alcohol from the blood faster
3.やさしい
How does rasagiline help in Parkinson's disease?
- AIt inhibits MAO-B, so brain dopamine is broken down more slowly
- BIt is converted directly into dopamine inside brain neurones
- CIt blocks dopamine receptors in the brain
- DIt blocks acetylcholine receptors in the gut
4.ふつう
A patient is starting lisinopril. Which rare but serious adverse effect should the nurse teach the patient to report immediately?
- AAn increase in appetite in the evening
- BDarker skin after exposure to sunlight
- CSwelling of the lips, tongue or face
- DA harmless rash on the palms of the hands
5.ふつう
A man taking tamsulosin is planning cataract surgery. What should the nurse advise?
- ATake a double dose on the day of surgery
- BTell the eye surgeon, as it can cause floppy iris syndrome
- CThe drug has no link with eye surgery
- DStop the drug for one day and no further action is needed
6.ふつう
A patient takes theophylline for COPD. Which advice is most important?
- ATake extra doses when short of breath
- BAvoid potassium-rich foods such as bananas
- CDrink plenty of grapefruit juice each morning to improve absorption
- DLimit coffee, tea and cola, because caffeine adds to the side effects
7.むずかしい
ある薬の分布容積が非常に大きい(例:成人で 500 L)。これは何を意味しますか?
- A薬が組織に多く取り込まれている
- B薬がほぼすべて血漿区画にとどまっている
- C薬を静脈内投与できない
- D薬が腎臓から速く排泄される
8.むずかしい
On admission, a patient's home medicine list includes warfarin for atrial fibrillation, but warfarin is not on the admission orders. What should the nurse do?
- AAssume the omission is intended and do nothing
- BTell the patient to stop warfarin permanently
- CClarify the omission with the prescriber (medication reconciliation)
- DGive the patient's own warfarin brought from home without an order
解答
- 1. C · As needed
- 2. B · Causes an unpleasant reaction if alcohol is drunk
- 3. A · It inhibits MAO-B, so brain dopamine is broken down more slowly
- 4. C · Swelling of the lips, tongue or face
- 5. B · Tell the eye surgeon, as it can cause floppy iris syndrome
- 6. D · Limit coffee, tea and cola, because caffeine adds to the side effects
- 7. A · 薬が組織に多く取り込まれている
- 8. C · Clarify the omission with the prescriber (medication reconciliation)
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。