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 client diagnosed with hypertension is being started on amlodipine. The nurse should advise the patient to monitor their weight daily because:
सही उत्तर: ख) B) Amlodipine can cause fluid retention, leading to weight gain.
Option B is correct. Amlodipine is a calcium channel blocker that primarily causes vasodilation and reduces peripheral vascular resistance, which can lead to fluid retention (edema) and consequently weight gain. The other options describe inaccurate mechanisms or effects.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient with chronic obstructive pulmonary disease (COPD) requires bronchodilator therapy. Which of the following adverse effects should the nurse MOST closely monitor after administering albuterol?
सही उत्तर: ग) C) Tachycardia and tremors.
Option C is correct. Albuterol, a beta-adrenergic agonist, can cause tachycardia (rapid heart rate) and tremors as a common side effect due to its stimulation of the sympathetic nervous system. Options A, B, and D are not typical adverse effects of albuterol.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient is receiving intravenous ranitidine for treatment of gastritis. Which statement by the patient indicates understanding of the medication’s action?
सही उत्तर: ग) C) ‘This drug reduces the amount of acid produced in my stomach.’
Option C is correct. Ranitidine (a histamine H2-receptor antagonist) works by reducing gastric acid secretion. The other options describe either contraindicated behaviors or effects of a different medication. Option A and D are inaccurate.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient taking lithium is prescribed a thiazide diuretic for hypertension management. The nurse understands that which potential interaction requires close monitoring?
सही उत्तर: ख) B) Enhanced diuretic effect, potentially leading to electrolyte imbalances.
Option B is correct. Lithium and thiazide diuretics both affect fluid and electrolyte balance – lithium causes hyperkalemia, while thiazides cause hypokalemia. Combining them significantly increases the risk of imbalances. Option A is not a common interaction. Option C is incorrect and Option D is a potential but less frequent effect.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient taking diphenhydramine (an antihistamine) reports dry mouth. Which pharmacological action of this medication is primarily responsible for this symptom?
सही उत्तर: ख) Blockage of histamine receptors
Option 1 (Blockage of histamine receptors) is correct. Diphenhydramine is an antihistamine that blocks H1 histamine receptors, which are responsible for stimulating the production and release of saliva. Options 2, 3, and 4 describe other actions of diphenhydramine.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A pharmacist is explaining the purpose of a ‘loading dose’ to a nursing student. Which statement BEST describes the rationale behind using a loading dose?
सही उत्तर: ख) To minimize the frequency of subsequent doses
A loading dose is administered initially to quickly achieve the desired therapeutic drug concentration in the body. This reduces the need for frequent, smaller doses later on and avoids fluctuations around the target level – a faster approach than multiple small doses.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client presents with an active peptic ulcer. The physician orders sucralfate suspension. How should the patient administer this medication?
सही उत्तर: ग) As directed by the healthcare provider, typically 1 hour before or 2 hours after meals
Sucralfate forms a protective barrier over ulcers. It should be taken as directed by the healthcare provider, usually 1 hour before or 2 hours after meals, to allow it to coat the ulcer and minimize irritation. Taking it with food can interfere with its formation of this protective layer; mixing with a beverage does not improve absorption.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient has been prescribed an intravenous infusion of sodium bicarbonate for metabolic acidosis. Which potential adverse effect should the nurse monitor for *most closely*?
सही उत्तर: ख) Hyperkalemia
Excessive administration of sodium bicarbonate can lead to hyperkalemia (elevated potassium levels) due to its ability to shift potassium from cells into the extracellular fluid. This is a critical adverse effect requiring frequent monitoring and prompt intervention. Hypotension, bradycardia, and increased cardiac output are less directly related to this specific adverse event.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient with hyperlipidemia is being treated with a statin medication. Which of the following symptoms should the patient report to their healthcare provider *immediately*?
सही उत्तर: क) Mild muscle aches
Patients taking statins should promptly report any signs or symptoms of myopathy (muscle problems) such as muscle aches, tenderness, or weakness. While other symptoms might be associated with the condition, muscle pain is a direct adverse effect requiring immediate attention and further investigation. The other options are generally unrelated to statin therapy.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client is prescribed intravenous (IV) unfractionated heparin for deep vein thrombosis (DVT). Which laboratory test is MOST important to monitor the effectiveness of this medication and prevent potential complications?
सही उत्तर: ख) Prothrombin Time (PT) / Activated Partial Thromboplastin Time (aPTT)
The Prothrombin Time (PT)/Activated Partial Thromboplastin Time (aPTT) is the primary laboratory test used to monitor heparin's anticoagulant effect. It directly assesses the clotting cascade, providing a quantitative measure of heparin’s impact. The other options are not routinely monitored in this situation – CBC is for infection/thrombocytopenia, creatinine for renal function, and liver function tests assess hepatic health.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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