1.ง่าย
Which effect is common and harmless with oral iron tablets?
- ABlue tint to the lips
- BYellow discoloration of the eyes
- CDark or black stools
- DRed-coloured urine
2.ง่าย
Which drug is the antidote for magnesium sulfate toxicity?
- ANaloxone
- BProtamine sulfate
- CPotassium chloride
- DCalcium gluconate
3.ง่าย
What is the normal fasting blood glucose range in a healthy adult?
- A7.0–10.0 mmol/L (about 126–180 mg/dL)
- B1.5–3.0 mmol/L (about 27–54 mg/dL)
- C11.1–15.0 mmol/L (about 200–270 mg/dL)
- D3.9–5.5 mmol/L (about 70–100 mg/dL)
4.ปานกลาง
A woman taking the combined pill should seek care urgently for which symptom?
- AMild breast tenderness in the first month
- BSlight nausea in the first few weeks
- CA painful, swollen calf or sudden chest pain
- DLight spotting between periods early on
5.ปานกลาง
Which adverse effect is a well-known risk of zidovudine?
- ABone marrow suppression, especially anaemia
- BOrange-red colouring of the urine and tears
- CRed–green colour blindness
- DGum overgrowth
6.ปานกลาง
What should the nurse teach a patient starting nitrofurantoin?
- AStop it as soon as the burning settles
- BTake it on an empty stomach with an antacid
- CTake it with food, and the urine may turn dark yellow or brown
- DExpect blue urine, which shows that the drug is working well
7.ยาก
A patient with Parkinson's disease has nausea. Why should metoclopramide be avoided?
- AIt increases dopamine levels in the brain too much and causes psychosis
- BIt causes severe diarrhoea in Parkinson's disease
- CIt inhibits the absorption of all oral drugs
- DIt blocks dopamine receptors in the brain and can worsen the parkinsonism
8.ยาก
A patient's record shows anaphylaxis to penicillin. Amoxicillin has been prescribed. What should the nurse do?
- AGive half the dose and observe for a reaction
- BGive the amoxicillin with an antihistamine to prevent a reaction
- CWithhold it and contact the prescriber, as amoxicillin is a penicillin
- DGive the amoxicillin, as it belongs to a different antibiotic group
เฉลย
- 1. C · Dark or black stools
- 2. D · Calcium gluconate
- 3. D · 3.9–5.5 mmol/L (about 70–100 mg/dL)
- 4. C · A painful, swollen calf or sudden chest pain
- 5. A · Bone marrow suppression, especially anaemia
- 6. C · Take it with food, and the urine may turn dark yellow or brown
- 7. D · It blocks dopamine receptors in the brain and can worsen the parkinsonism
- 8. C · Withhold it and contact the prescriber, as amoxicillin is a penicillin
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