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Imię: ____________________ Data: ____________
1.Łatwy
What is the purpose of the Z-track technique for intramuscular injections?
ATo allow a larger volume to be given than with a standard injection
BTo stop the drug leaking back into the subcutaneous tissue
CTo avoid the need to clean the skin
DTo make the injection faster
2.Łatwy
Buspirone is used mainly to treat:
ASevere pain
BGeneralised anxiety disorder
CAcute alcohol withdrawal
DPanic attacks needing immediate relief
3.Łatwy
Naltrexone helps in alcohol use disorder because it:
ACauses vomiting and flushing whenever alcohol is drunk
BSpeeds up the liver breakdown of alcohol
CBlocks opioid receptors, reducing reward and craving
DReplaces alcohol as a sedative
4.Średni
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.Średni
During an infusion of a vesicant chemotherapy drug, the patient reports burning, and the site is swollen. What should the nurse do first?
AFlush the line with a large volume of saline
BStop the infusion, leave the cannula in and follow the protocol
CRemove the cannula at once and massage the area firmly
DIncrease the infusion rate to finish quickly
6.Średni
While giving medicines, a patient says, "That pill looks different from the one I usually take." What should the nurse do?
AExplain that only the staff decide which medicines are given
BStop and recheck the order and the medicine before giving it
CGive the pill and check the chart afterwards
DReassure the patient and give the pill anyway
7.Trudny
Starsza kobieta, która dwa tygodnie temu zaczęła przyjmować SSRI, jest teraz splątana, a stężenie sodu w osoczu jest niskie. Jaki jest najbardziej prawdopodobny mechanizm?
AWywołane przez SSRI nieadekwatne wydzielanie ADH powodujące zatrzymanie wody
BUtrata sodu z powodu ciężkiej biegunki wywołanej przez SSRI
CZwiększone wydzielanie aldosteronu
DBezpośrednie uszkodzenie nadnerczy
8.Trudny
A patient who uses insulin is taught sick-day rules. Which statement shows a need for further teaching?
A"If I am ill and not eating, I will stop my insulin completely."
B"I will seek help if I keep vomiting or have ketones."
C"I will check my blood glucose and ketones more often while I am ill."
D"I will keep drinking fluids, even if I cannot eat much."
Klucz odpowiedzi
1. B · To stop the drug leaking back into the subcutaneous tissue
2. B · Generalised anxiety disorder
3. C · Blocks opioid receptors, reducing reward and craving
4. C · Take it with food, and the urine may turn dark yellow or brown
5. B · Stop the infusion, leave the cannula in and follow the protocol
6. B · Stop and recheck the order and the medicine before giving it
7. A · Wywołane przez SSRI nieadekwatne wydzielanie ADH powodujące zatrzymanie wody
8. A · "If I am ill and not eating, I will stop my insulin completely."
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