1.简单
成人血清钾的典型参考范围是多少?
- A135–145 mEq/L
- B1.3–2.1 mEq/L
- C3.5–5.0 mEq/L
- D6.0–8.0 mEq/L
2.简单
Which fasting triglyceride level is commonly described as normal?
- AAbove 500 mg/dL (5.6 mmol/L)
- BBelow 150 mg/dL (1.7 mmol/L)
- CBetween 200 and 499 mg/dL (2.3–5.6 mmol/L)
- DAbove 1,000 mg/dL (11.3 mmol/L)
3.简单
Which drug is routinely monitored with blood levels because of its narrow therapeutic range?
- ALoratadine
- BLithium
- COmeprazole
- DAmoxicillin
4.中等
A patient's eGFR has fallen to 24 mL/min/1.73 m². Which prescribed drug should the nurse question before giving it?
- AAcetaminophen (paracetamol)
- BMetformin
- CInsulin glargine
- DLevothyroxine
5.中等
During a red cell transfusion, when are serious acute reactions most likely, so the nurse stays with the patient?
- AThe next morning
- BAfter the last drop is given
- CIn the first 15 minutes
- DAfter about 2 hours
6.中等
An older adult takes lisinopril and furosemide and recently started daily ibuprofen for knee pain. The creatinine has risen from 1.0 to 1.8 mg/dL (88 to 159 µmol/L). What is the most likely cause?
- ANormal aging of the kidneys over a period of a few weeks
- BThe NSAID reduces kidney blood flow on top of the other two drugs
- CA laboratory error, since ibuprofen has no effect on the kidney
- DMore activity has increased the patient's muscle mass quickly
7.困难
静脉输注硫酸镁期间,哪项评估最能早期发现中毒?
- A每小时血糖和瞳孔大小
- B膝反射、呼吸频率和尿量
- C肠鸣音和腹围
- D每小时皮肤颜色和毛细血管再充盈
8.困难
一名患者的万古霉素谷浓度为 28 mcg/mL;开医嘱者设定的目标为 15–20 mcg/mL。下一次给药时间到了。最好的措施是什么?
- A按计划给药,一周后复测谷浓度
- B给予双倍剂量以更快完成疗程
- C暂停该剂量,通知开医嘱者并检查肾功能
- D缩短给药时间以减少药物暴露
答案
- 1. C · 3.5–5.0 mEq/L
- 2. B · Below 150 mg/dL (1.7 mmol/L)
- 3. B · Lithium
- 4. B · Metformin
- 5. C · In the first 15 minutes
- 6. B · The NSAID reduces kidney blood flow on top of the other two drugs
- 7. B · 膝反射、呼吸频率和尿量
- 8. C · 暂停该剂量,通知开医嘱者并检查肾功能
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