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Imię: ____________________ Data: ____________
1.Łatwy
After chemotherapy, what is the "nadir"?
AThe point when blood cell counts are at their lowest
BThe point when the tumour is at its smallest after treatment
CThe day the drug is given
DThe time when nausea is worst
2.Łatwy
Clomifene is used mainly to:
AInduce ovulation in women with infertility
BStop postpartum bleeding
CTreat menopausal hot flushes and night sweats
DPrevent pregnancy
3.Łatwy
Naltrexone helps in alcohol use disorder because it:
AReplaces alcohol as a sedative
BSpeeds up the liver breakdown of alcohol
CBlocks opioid receptors, reducing reward and craving
DCauses vomiting and flushing whenever alcohol is drunk
4.Średni
Which patient should usually not receive a live vaccine?
AA healthy adult nurse who works on a children's ward
BA patient with mild seasonal allergies
CA patient receiving chemotherapy for leukaemia
DA healthy 1-year-old child
5.Średni
A patient takes cholestyramine. How should other oral medicines be timed?
ATake them all at the same time as cholestyramine
BTiming does not matter, as cholestyramine is not absorbed
CTake them 1 hour before or several hours after cholestyramine
DMix them into the cholestyramine drink so they are taken together
6.Średni
Why should loperamide usually be avoided in bloody diarrhoea with fever?
ASlowing the gut may keep bacteria and toxins in the bowel longer
BLoperamide makes the bleeding worse by blocking platelets
CLoperamide is an antibiotic that causes resistance
DLoperamide causes severe hypertension when there is an infection
7.Trudny
A patient's record shows anaphylaxis to penicillin. Amoxicillin has been prescribed. What should the nurse do?
AGive the amoxicillin with an antihistamine to prevent a reaction
BGive the amoxicillin, as it belongs to a different antibiotic group
CGive half the dose and observe for a reaction
DWithhold it and contact the prescriber, as amoxicillin is a penicillin
8.Trudny
A patient has received a sodium nitroprusside infusion for several days. He becomes confused and develops a metabolic acidosis. What should be suspected?
AAn allergic reaction to the plastic of the infusion bag
BHypoglycaemia from nitroprusside
CHyperkalaemia from the infusion
DCyanide toxicity from nitroprusside breakdown
Klucz odpowiedzi
1. A · The point when blood cell counts are at their lowest
2. A · Induce ovulation in women with infertility
3. C · Blocks opioid receptors, reducing reward and craving
4. C · A patient receiving chemotherapy for leukaemia
5. C · Take them 1 hour before or several hours after cholestyramine
6. A · Slowing the gut may keep bacteria and toxins in the bowel longer
7. D · Withhold it and contact the prescriber, as amoxicillin is a penicillin
8. D · Cyanide toxicity from nitroprusside breakdown
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