1.ง่าย
อะโทรพีนปิดกั้นตัวรับชนิดใด?
- Aตัวรับมัสคารินิกของอะเซทิลโคลีน
- Bตัวรับเบต้า-1 อะดรีเนอร์จิก
- Cตัวรับนิโคตินิกที่รอยต่อระหว่างประสาทกับกล้ามเนื้อ
- Dตัวรับฮิสตามีน H1
2.ง่าย
Which drug is the antidote for magnesium sulfate toxicity?
- ACalcium gluconate
- BProtamine sulfate
- CPotassium chloride
- DNaloxone
3.ง่าย
ยาใดแก้ฤทธิ์ของเฮปาริน?
- Aวิตามินเค
- Bฟลูมาเซนิล
- Cนาลอกโซน
- Dโปรตามีนซัลเฟต
4.ปานกลาง
A patient receiving chemotherapy has a very low neutrophil count and is going home. Which teaching is most important?
- ATake paracetamol regularly so that fevers do not show
- BEat plenty of raw shellfish to boost protein
- CReport a temperature of 38 °C (100.4 °F) or higher straight away
- DExercise in crowded gyms to build strength
5.ปานกลาง
A patient is starting doxazosin, an alpha-1 blocker. What should the nurse advise about the first dose?
- ATake it only if the urine is darker than usual
- BTake it at bedtime, because it can cause dizziness and fainting
- CTake it in the morning with a cup of strong coffee to stay alert
- DExpect a short rise in blood pressure after the dose
6.ปานกลาง
Which blood test is commonly used to monitor a continuous infusion of unfractionated heparin?
- AINR (international normalised ratio, prothrombin time)
- BSerum potassium
- CHaemoglobin A1c
- DActivated partial thromboplastin time (aPTT)
7.ยาก
During an IV glyceryl trinitrate (nitroglycerin) infusion for chest pain, the patient's blood pressure drops to 82/50 mmHg and he feels faint. What is the nurse's first action?
- AGive a sublingual nitroglycerin tablet and increase the rate to relieve the remaining chest pain
- BStop or reduce the infusion as per protocol, lay the patient flat and notify the prescriber
- CSit the patient fully upright and give paracetamol for the headache
- DIncrease the infusion rate to improve blood flow to the heart
8.ยาก
During an alteplase infusion for acute ischaemic stroke, the patient develops a sudden severe headache and her level of consciousness falls. What is the nurse's first action?
- AGive paracetamol for the headache and continue the infusion
- BSlow the infusion to half the rate and recheck in 30 minutes
- CStop the alteplase infusion and notify the provider urgently
- DGive a bolus of heparin to prevent a new clot
เฉลย
- 1. A · ตัวรับมัสคารินิกของอะเซทิลโคลีน
- 2. A · Calcium gluconate
- 3. D · โปรตามีนซัลเฟต
- 4. C · Report a temperature of 38 °C (100.4 °F) or higher straight away
- 5. B · Take it at bedtime, because it can cause dizziness and fainting
- 6. D · Activated partial thromboplastin time (aPTT)
- 7. B · Stop or reduce the infusion as per protocol, lay the patient flat and notify the prescriber
- 8. C · Stop the alteplase infusion and notify the provider urgently
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