फार्माकोलोजी – Pharmacology MCQ
फार्माकोलोजी – अन्तर्राष्ट्रिय नर्सिङ
Pharmacology · International Nursing (NCLEX-RN, DHA, HAAD) · ४०८ प्रश्न
४०८ प्रश्न उपलब्ध। मोड छान्नुहोस्:
फार्माकोलोजी: प्रश्न र उत्तर
सही लागेको विकल्पमा थिच्नुहोस्। सही भए हरियो, गलत भए रातो देखिन्छ; ३ सेकेन्डपछि सही उत्तर र व्याख्या देखिन्छ।
सही: ० / ०
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A patient has been prescribed a long-term nonsteroidal anti-inflammatory drug (NSAID). Which of the following adverse effects should the nurse monitor closely?
सही उत्तर: ख) Cardiovascular Events (e.g., Myocardial Infarction)
Long-term NSAID use is a well-established risk factor for cardiovascular events due to their impact on platelet function and the inflammatory response. While osteoporosis is also possible, it's less directly linked.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient is prescribed diphenhydramine for allergic symptoms. Which instruction should the nurse prioritize when educating this client?
सही उत्तर: ख) Avoid operating heavy machinery due to drowsiness.
Diphenhydramine is a first-generation antihistamine known for causing significant sedation. The primary instruction focusing on this effect is avoiding activities requiring alertness.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A pregnant woman in her second trimester reports nausea and vomiting. Which antithyroid medication is typically considered the safest option to minimize risks to the fetus?
सही उत्तर: क) Propylthiouracil (PTU)
Propylthiouracil (PTU) is preferred in the first and third trimesters due to a lower risk of fetal thyroid toxicity compared to methimazole. Methimazole has been associated with birth defects.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient diagnosed with hypothyroidism is being initiated on levothyroxine sodium. Which baseline test is MOST critical before starting treatment?
सही उत्तर: ख) Thyroid Stimulating Hormone (TSH)
TSH is the primary indicator of thyroid function and is essential for determining the appropriate initial dose of levothyroxine. While other tests might be relevant later, TSH provides the most immediate information about the patient's current thyroid status.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient is prescribed amoxicillin/clavulanate for bacterial infection. Which laboratory test should be monitored regularly to assess for potential side effects?
सही उत्तर: क) Complete Blood Count (CBC)
CBC is crucial as amoxicillin/clavulanate can cause neutropenia. The other options, while important for general health monitoring, aren't directly linked to the specific side effects of this antibiotic. A CBC detects changes in blood cell counts.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient with hypertension is taking lisinopril daily. The nurse observes that the patient reports persistent dry cough. What should the nurse do?
सही उत्तर: ख) b) Immediately discontinue lisinopril and notify the healthcare provider
Option 1 is correct. A dry cough is a common side effect of ACE inhibitors like lisinopril due to their vasodilatory effects. The nurse should advise the patient to continue taking the medication as prescribed and monitor for other potential side effects, not change the dose without provider guidance.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient with diabetes mellitus type 2 is prescribed metformin for glycemic control. What educational point should the nurse emphasize regarding this medication?
सही उत्तर: ख) b) The patient should monitor their blood glucose levels regularly and report any changes to their healthcare provider
Option 1 is correct. Metformin can increase the risk of hypoglycemia, especially during exercise. Options b and c are important for managing diabetes but not specific to metformin; d is a common side effect that management strategies can address.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient receiving intravenous fentanyl for pain has decreased respiratory rate and shallow breathing. What medication should the nurse administer first to reverse the effects of opioid overdose?
सही उत्तर: ख) b) Naloxone
Option 1 is correct; naloxone is an opioid antagonist that specifically blocks the effects of opioids at the receptor level, reversing respiratory depression. Options a, c, and d are incorrect as they do not directly counteract opioid overdose.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with chronic obstructive pulmonary disease (COPD) is prescribed systemic corticosteroids for an acute exacerbation. Which laboratory value should the nurse monitor most closely?
सही उत्तर: घ) d) Serum cortisol
Option 3 is correct as corticosteroids frequently elevate serum glucose levels due to their metabolic effects. While monitoring white blood cells and potassium is important in COPD management, the primary concern with steroid use is hyperglycemia. Option a is incorrect as potassium imbalances are not typically directly linked to corticosteroid therapy in this scenario; b is irrelevant to the core effect of steroids; and c is too broad.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient taking warfarin is prescribed amoxicillin. What potential interaction should the nurse monitor for closely?
सही उत्तर: ख) b) Decreased efficacy of warfarin due to amoxicillin’s interference with vitamin K metabolism
Option 1 is correct because amoxicillin can inhibit the production of Vitamin K, a key component in the synthesis of clotting factors that warfarin targets. This interaction can increase the risk of bleeding. Options b and d are incorrect as amoxicillin doesn't affect vitamin K or significantly alter warfarin’s absorption. Option c is incorrect; amoxicillin does not directly impact digoxin levels.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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