1.Dễ
Why is carbidopa combined with levodopa?
- AIt increases the breakdown of dopamine in the liver
- BIt converts levodopa into dopamine inside the gut
- CIt stops levodopa turning into dopamine outside the brain
- DIt blocks dopamine receptors to reduce nausea in the brain
2.Dễ
What is the purpose of the Z-track technique for intramuscular injections?
- ATo avoid the need to clean the skin
- BTo allow a larger volume to be given than with a standard injection
- CTo make the injection faster
- DTo stop the drug leaking back into the subcutaneous tissue
3.Dễ
How does ezetimibe lower cholesterol?
- AIt increases the excretion of cholesterol in the urine and bile
- BIt reduces the absorption of cholesterol from the intestine
- CIt binds bile acids in the gut
- DIt inhibits HMG-CoA reductase in the liver
4.Trung bình
A prescriber gives a verbal medication order in an emergency. What should the nurse do?
- ARemember it and write it in the chart at the end of the shift
- BAsk another nurse to remember the order
- CGive the drug without recording the order
- DWrite it down and read it back to the prescriber to confirm
5.Trung bình
Benzathine benzylpenicillin (penicillin G benzathine) is ordered. Which route is correct?
- AIntravenous push
- BDeep intramuscular only
- CIntravenous infusion over 30 minutes
- DSubcutaneous in the abdomen
6.Trung bình
Why are benzodiazepines used with great caution in older people?
- AThey cause permanent hearing loss in older people
- BThey raise the risk of confusion, falls and fractures
- CThey are not absorbed from the gut after age 65
- DThey cause severe high blood pressure in older people
7.Khó
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?
- AMonitor closely, have naloxone ready, inform the prescriber and report
- BGive another dose later to balance it out
- CChange the chart so that it shows the correct dose, and continue to monitor
- DSay nothing because the patient is alert
8.Khó
Methotrexate cho viêm khớp dạng thấp được uống mỗi tuần một lần. Một người bệnh nhầm lẫn uống cùng liều đó mỗi ngày. Nguy hiểm chính là gì?
- ATăng huyết áp nặng do giữ dịch
- BViêm khớp nặng hơn do dung nạp thuốc
- CHạ đường huyết vì methotrexate kích thích mạnh giải phóng insulin
- DỨc chế tủy xương và viêm niêm mạc do độc tính của methotrexate
Đáp án
- 1. C · It stops levodopa turning into dopamine outside the brain
- 2. D · To stop the drug leaking back into the subcutaneous tissue
- 3. B · It reduces the absorption of cholesterol from the intestine
- 4. D · Write it down and read it back to the prescriber to confirm
- 5. B · Deep intramuscular only
- 6. B · They raise the risk of confusion, falls and fractures
- 7. A · Monitor closely, have naloxone ready, inform the prescriber and report
- 8. D · Ức chế tủy xương và viêm niêm mạc do độc tính của methotrexate
Lời giải đầy đủ từng bước: hãy luyện chủ đề này trên examproblems.com.