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
-
An intravenous infusion of morphine is initiated for pain management. The patient reports nausea and vomiting. Which intervention should the nurse implement FIRST?
सही उत्तर: घ) Encourage frequent small meals.
Morphine-induced nausea and vomiting is a common side effect. The priority intervention is to notify the physician for further evaluation and potential adjustments to the medication or administration route. Options A and B could worsen the situation, while C is less immediate than involving the physician.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
-
A patient is prescribed ciprofloxacin. Which of the following statements regarding its use is MOST important for the nurse to educate the patient about?
सही उत्तर: ख) It can cause permanent damage to the eyes and kidneys, particularly in older adults.
The warning associated with fluoroquinolones like ciprofloxacin highlights the increased risk of serious ocular and renal adverse effects, especially in elderly patients. Options A and B are incorrect; food does not enhance absorption, and the risk isn’t solely limited to older adults. Option C is also false as these medications can impair cognitive function.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
-
A patient diagnosed with hypertension is prescribed lisinopril, an ACE inhibitor. Which laboratory test should be monitored regularly as part of this patient’s follow-up care?
सही उत्तर: घ) D) Lipid panel.
ACE inhibitors like lisinopril can cause hyperkalemia (elevated potassium levels) due to their effect on renal function. Regular monitoring of serum potassium is essential to detect and manage this potential side effect.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
-
A patient with chronic obstructive pulmonary disease (COPD) is prescribed salmeterol inhalation for maintenance therapy. Which instruction is most important for the nurse to provide regarding its administration?
सही उत्तर: ग) C) ‘Use this medication only when experiencing acute symptoms of COPD.’
It’s crucial that patients understand proper inhaler technique to maximize drug delivery. Shaking and rinsing the mouth after each dose helps prevent thrush (oral candidiasis) and ensures optimal medication effectiveness. The other options are incorrect or misinterpret the purpose of maintenance therapy.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
-
A patient is receiving intravenous fluconazole for a fungal infection. Which assessment finding would be most concerning and require immediate notification of the healthcare provider?
सही उत्तर: घ) D) Decreased appetite.
Fluconazole is known to cause visual disturbances as a significant adverse effect. This requires immediate attention and investigation. Options A, B, and D are common side effects of fluconazole but are not critical emergencies.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
-
A patient requiring intravenous administration of a medication needs to calculate the volume rate of infusion over 1 hour. The prescribed dose is 250 mg to be infused over 60 minutes. What is the appropriate infusion rate in mL/hour?
सही उत्तर: ख) B) 8.33 mL/hour.
To calculate the infusion rate (mL/hour), we divide the dose (250 mg) by the time (60 minutes): 250mg / 60min = 4.17 mg per minute. Converting to mL/hour requires a conversion factor (1 mL = 8 drops and 1 drop = 0.05mL): 4.17mg/minute * 60 minutes/hour * 0.05mL/drop * 8 drops/mL = approximately 8.33 mL/hour.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
-
A patient with type 2 diabetes mellitus is prescribed metformin 500 mg twice daily. Which of the following statements best describes the primary mechanism of action of this medication?
सही उत्तर: ग) C) Reduction of hepatic glucose production.
Metformin primarily works by reducing hepatic glucose production – the amount of glucose produced by the liver. This is the most accurate description of its mechanism. Options A and D are incorrect because metformin doesn't directly affect insulin or amylin; Option B is partially correct but incomplete as it only describes one aspect.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
-
A patient is receiving intravenous heparin for deep vein thrombosis (DVT). The nurse observes signs of bleeding, including hematuria. Which action should the nurse take FIRST?
सही उत्तर: ख) Notify the physician immediately and prepare a report.
The correct answer is 1 because protamine sulfate is the antidote for heparin. Options 2 and 3 are important steps, but addressing the bleeding with the appropriate antidote takes priority. Vitamin K is not used in treating heparin overdose.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
-
A patient with a diagnosis of congestive heart failure is prescribed furosemide (Lasix). At what time of day should this medication be administered to maximize its diuretic effect?
सही उत्तर: ख) With breakfast, approximately 30 minutes prior to mealtime.
The correct answer is 1. Furosemide’s peak diuretic effect occurs with sodium excretion, which is highest after a meal and with postural changes like standing up. Options 2, 3, and 4 are incorrect as they don't align with the drug's pharmacokinetic profile.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
-
A patient with Alzheimer's disease is prescribed donepezil (Aricept). Which of the following mechanisms of action BEST describes how this medication works?
सही उत्तर: ख) It stimulates acetylcholine production in the brain.
The correct answer is 1. Donepezil is an acetylcholinesterase inhibitor, meaning it increases the amount of acetylcholine available in the synapse by preventing its breakdown. Options 2 and 3 are incorrect descriptions of the drug's mechanism. Option 4 misrepresents the process of memory formation.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
यी अभ्यास प्रश्न हुन्, आधिकारिक प्रश्न होइनन्। पाठ्यक्रम, विज्ञापन र नतिजाका लागि सम्बन्धित निकायको आधिकारिक वेबसाइट हेर्नुहोस्। उत्तरमा गल्ती भेटे प्रश्नमुनिको "टिप्पणी / गल्ती रिपोर्ट" मा लेख्नुहोस्।
नमस्ते! पाठ्यक्रम, सामान्य ज्ञान, भाषा परीक्षा वा कुनै प्रश्नको उत्तर बुझ्न सोध्नुहोस्।
AI ले गल्ती गर्न सक्छ। महत्वपूर्ण कुरा आधिकारिक स्रोतमा जाँच्नुहोस्।