फार्माकोलोजी – Pharmacology MCQ

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

171. A client with chronic heart failure is taking digoxin for symptom management. The nurse observes the following symptoms in the patient: nausea, vomiting, visual disturbances, and arrhythmias. Which of the following interventions should the nurse implement *first*?

     कa) Administer an antiemetic medication as prescribed. खb) Immediately notify the physician of the acute toxicity. गc) Assess the client’s apical pulse and respiratory rate. घd) Initiate intravenous calcium gluconate.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

172. A patient is prescribed intravenous gentamicin for a severe bacterial infection. The nurse should closely monitor which laboratory value?

     कa) Serum creatinine level, reflecting kidney function. खb) White blood cell count, indicating potential bone marrow suppression. गc) Serum glucose level, assessing for hyperglycemia. घd) Arterial blood pressure, monitoring for hypotension.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

173. A client diagnosed with schizophrenia is prescribed risperidone. The nurse understands that a key adverse effect to monitor for in this patient is which of the following?

     कa) Bradycardia due to the drug's effects on cardiac conduction. खb) Tardive dyskinesia resulting from dopamine receptor blockade. गc) Hypoglycemia secondary to increased insulin release. घd) Peripheral neuropathy caused by interference with nerve regeneration.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

174. A nurse is caring for a patient receiving intravenous hydrocortisone. The physician orders a serum potassium level to be checked. Why is this important monitoring?

     कa) Hydrocortisone can cause hyperkalemia by inhibiting aldosterone production. खb) Hyperkalemia can exacerbate the effects of hydrocortisone, leading to cardiac arrhythmias. गc) Monitoring potassium levels will determine the correct dosage of hydrocortisone. घd) Hydrocortisone primarily affects sodium balance, and potassium is unaffected.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

175. A client with a history of penicillin allergy is prescribed cefazolin for a skin infection. The nurse should anticipate which potential adverse reaction? a) Bronchospasm b) Generalized urticaria and angioedema c) Tachycardia and hypotension d) Glossitis

     कa) Bronchospasm खb) Generalized urticaria and angioedema गc) Tachycardia and hypotension घd) Glossitis
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

176. A patient taking oral ketoconazole for fungal infection reports nausea and vomiting. The nurse recognizes that this adverse effect is most likely due to which mechanism of action? a) Inhibition of dihydropteroate synthase b) Inhibition of ergosterol synthesis c) Stimulation of gastric acid secretion d) Blockade of histamine H2 receptors

     कa) Inhibition of dihydropteroate synthase खb) Inhibition of ergosterol synthesis गc) Stimulation of gastric acid secretion घd) Blockade of histamine H2 receptors
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

177. Which of the following medications would be MOST appropriate for managing acute hypertension? a) Lisinopril b) Metoprolol c) Furosemide d) Pantoprazole

     कa) Lisinopril खb) Metoprolol गc) Furosemide घd) Pantoprazole
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

178. A patient with chronic obstructive pulmonary disease (COPD) is prescribed systemic corticosteroids for exacerbations. Which of the following adverse effects should the nurse closely monitor? a) Increased risk of hypotension b) Elevated white blood cell count and potential adrenal suppression c) Decreased appetite and weight gain d) Increased cardiac output

     कa) Increased risk of hypotension खb) Elevated white blood cell count and potential adrenal suppression गc) Decreased appetite and weight gain घd) Increased cardiac output
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

179. A client taking amiodarone for arrhythmia reports frequent palpitations. The nurse understands that this effect is primarily due to which mechanism of action? a) Inhibition of sodium channels b) Blockage of beta-adrenergic receptors c) Prolongation of the QT interval d) Vasodilation

     कa) Inhibition of sodium channels खb) Blockage of beta-adrenergic receptors गc) Prolongation of the QT interval घd) Vasodilation
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

180. A patient receiving long-term treatment with hydrocortisone (prednisone) has consistently elevated blood glucose levels. Which laboratory finding would BEST support the suspicion that the prednisone therapy is contributing to this hyperglycemia?

     कDecreased fasting blood glucose खIncreased white blood cell count गElevated serum cortisol levels घReduced HbA1c level
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।