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1.Легка
How does rasagiline help in Parkinson's disease?
AIt inhibits MAO-B, so brain dopamine is broken down more slowly
BIt blocks acetylcholine receptors in the gut
CIt blocks dopamine receptors in the brain
DIt is converted directly into dopamine inside brain neurones
2.Легка
What is an "adjuvant analgesic"?
AA placebo given to test whether pain is real
BA drug that reverses the effects of opioids
CA drug for another condition that also relieves some pain
DA strong opioid used only for severe pain at the end of life
3.Легка
Epoetin alfa, often used in chronic kidney disease, stimulates the production of:
AWhite blood cells
BRed blood cells
CClotting factors
DPlatelets
4.Середня
A patient receiving chemotherapy has a very low neutrophil count and is going home. Which teaching is most important?
AEat plenty of raw shellfish to boost protein
BExercise in crowded gyms to build strength
CTake paracetamol regularly so that fevers do not show
DReport a temperature of 38 °C (100,4 °F) or higher straight away
5.Середня
A patient is starting doxazosin, an alpha-1 blocker. What should the nurse advise about the first dose?
ATake it at bedtime, because it can cause dizziness and fainting
BTake it only if the urine is darker than usual
CExpect a short rise in blood pressure after the dose
DTake it in the morning with a cup of strong coffee to stay alert
6.Середня
A nurse realises that a patient has been given the wrong dose of a medicine. What is the first action?
ACorrect the chart so it shows the right dose
BComplete the incident report before anything else
CAssess the patient for effects of the error
DWait to see whether the patient notices
7.Складна
A heparin infusion contains 25,000 units in 500 mL. The order is 1,000 units per hour. What rate should be set on the pump?
A10 mL/h
B25 mL/h
C20 mL/h
D50 mL/h
8.Складна
A nurse gave a patient ten times the prescribed dose of hydromorphone. The patient is currently alert. What is the most appropriate sequence of actions?
AGive another dose later to balance it out
BChange the chart so that it shows the correct dose, and continue to monitor
CMonitor closely, have naloxone ready, inform the prescriber and report
DSay nothing because the patient is alert
Ключ відповідей
1. A · It inhibits MAO-B, so brain dopamine is broken down more slowly
2. C · A drug for another condition that also relieves some pain
3. B · Red blood cells
4. D · Report a temperature of 38 °C (100,4 °F) or higher straight away
5. A · Take it at bedtime, because it can cause dizziness and fainting
6. C · Assess the patient for effects of the error
7. C · 20 mL/h
8. C · Monitor closely, have naloxone ready, inform the prescriber and report
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