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Ім’я: ____________________ Дата: ____________
1.Легка
Dobutamine is mainly used to:
ATreat high blood pressure at home
BSlow the heart rate in fast atrial fibrillation with low blood pressure
CIncrease heart contractility in cardiogenic shock or acute heart failure
DDissolve clots in the coronary arteries
2.Легка
Що з наведеного є типовою реакцією II фази (кон'югації) метаболізму ліків?
AОкиснення
BВідновлення
CГлюкуронізація
DГідроліз
3.Легка
What is a "high-alert medication"?
AAny drug that is given by the intravenous or intramuscular route
BA drug that is expensive and must be kept in a locked cupboard
CA drug that causes more serious harm when used in error
DA new drug during its first year on the market
4.Середня
A patient refuses a prescribed oral medicine. What should the nurse do?
ARecord the medicine as given, so that the chart stays complete for the next shift
BHide the tablet in the patient's food
CExplore the reason, respect the decision, document and inform the prescriber
DLeave the tablet on the bedside table for later
5.Середня
Methylergometrine (methylergonovine) is prescribed for postpartum bleeding. Which finding would make the nurse withhold it and check with the prescriber?
ABlood pressure of 160/105 mmHg
BHaemoglobin slightly below normal
CTemperature of 37,2 °C (99 °F)
DHeart rate of 88 per minute
6.Середня
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
CExpect blue urine, which shows that the drug is working well
DTake it with food, and the urine may turn dark yellow or brown
7.Складна
A patient on weekly methotrexate is prescribed trimethoprim for a urinary infection. What is the main risk?
ASevere hypertension from the combination
BLoss of antibiotic effect because methotrexate binds trimethoprim
CBone marrow suppression, because both drugs inhibit folate metabolism
DHypoglycaemia from reduced liver glucose output
8.Складна
A patient on rifampicin, isoniazid, pyrazinamide and ethambutol develops a painful swollen big toe. Which drug is most likely responsible?
AIsoniazid
BRifampicin
CPyrazinamide
DEthambutol
Ключ відповідей
1. C · Increase heart contractility in cardiogenic shock or acute heart failure
2. C · Глюкуронізація
3. C · A drug that causes more serious harm when used in error
4. C · Explore the reason, respect the decision, document and inform the prescriber
5. A · Blood pressure of 160/105 mmHg
6. D · Take it with food, and the urine may turn dark yellow or brown
7. C · Bone marrow suppression, because both drugs inhibit folate metabolism
8. C · Pyrazinamide
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