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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Which of the following statements best describes the rationale for using enteric-coated tablets?
सही उत्तर: ग) C) The coating prevents premature disintegration and dissolution in the stomach
The primary purpose of enteric coatings is to protect drugs that are unstable in acidic conditions (like many antibiotics). This prevents degradation in the stomach, allowing for absorption further down the small intestine. Options A and D are incorrect; B is a consequence, not the reason.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient with chronic heart failure is prescribed furosemide (Lasix). Which assessment finding would require immediate intervention by the nurse?
सही उत्तर: ख) B) Patient reports mild shortness of breath while resting
Shortness of breath is a common symptom of fluid overload, which furosemide aims to treat in heart failure. Option C (elevated potassium) is a frequent side effect of loop diuretics and requires urgent management. Options A and D are expected findings and don’t necessitate immediate intervention.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient with hypertension is prescribed nifedipine, a calcium channel blocker. Which statement regarding nifedipine's use is *most* important for the nurse to communicate to the patient? a) You may experience dizziness or lightheadedness, especially when standing up quickly. b) You should take this medication with food to minimize gastrointestinal upset. c) You can increase your daily sodium intake to counteract the effects of the drug. d) This medication will completely eliminate your need for other blood pressure medications.
सही उत्तर: क) a
Option A is correct. Nifedipine, a vasodilator, frequently causes orthostatic hypotension (dizziness when standing), which is a key side effect the patient must be warned about. The other options are incorrect advice regarding drug interactions or overall management.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient is receiving intravenous heparin for deep vein thrombosis. Which of the following findings would *most* immediately indicate a potential adverse reaction requiring immediate intervention? a) Mild nausea. b) Elevated partial thromboplastin time (PTT). c) Decreased platelet count. d) Localized edema at the injection site.
सही उत्तर: ग) c
Option B is correct. Heparin causes a prolonged PTT, which is the standard clinical indicator of an excessive response and potential heparin overdose. The other options are less concerning immediate reactions.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient taking levothyroxine (synthetic thyroid hormone) reports experiencing palpitations and anxiety. Which of the following adverse effects is *most* likely contributing to these symptoms? a) Decreased cardiac output. b) Increased sensitivity to catecholamines. c) Reduced renal blood flow. d) Enhanced insulin secretion.
सही उत्तर: ख) b
Option B is correct. Levothyroxine increases metabolic rate and stimulates the release of catecholamines (epinephrine, norepinephrine), which can directly cause palpitations and anxiety. The other options are less likely consequences of levothyroxine use.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient is prescribed a metered-dose inhaler (MDI) for asthma. Which of the following techniques demonstrates the *most* appropriate method for delivery to minimize drug deposition in the mouth and throat? a) Exhale forcefully while activating the MDI. b) Press the canister against the side of the mouth and activate. c) Purse the lips and aim the MDI toward the lower portion of the tongue, then activate. d) Quickly press the actuator and inhale deeply.
सही उत्तर: ग) c
Option C is correct. This technique creates a seal around the mouth, directing the aerosolized medication directly into the lungs. The other options will result in more deposition of the drug in the oral cavity.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient with chronic iron deficiency anemia is prescribed oral ferrous sulfate. Which of the following dietary modifications would *most* effectively enhance the absorption of this medication? a) Consuming large amounts of dairy products. b) Taking the medication with orange juice or tomato juice. c) Avoiding all sources of vitamin C. d) Limiting protein intake.
सही उत्तर: ख) b
Option B is correct. Ferrous sulfate absorption is significantly increased when taken with foods containing citric acid (like orange juice or tomato juice). The other options are incorrect because dairy products interfere, Vitamin C decreases absorption, and limiting protein doesn't directly impact iron absorption. This aligns with standard pharmacological principles.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client who has recently inhaled an inhaled corticosteroid is instructed by the nurse to rinse their mouth following administration. Why is this advice important?
सही उत्तर: घ) They are intended to remove drug residue and prevent local irritation
Option 3 is correct. Inhaled corticosteroids can deposit particulate matter in the mouth, creating a favorable environment for fungal growth like Candida, leading to oral thrush. Options 1,2 and 3 describe inaccurate effects of the medication.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which medication would be administered to counteract the anticoagulant effects of Warfarin?
सही उत्तर: क) Protamine Sulfate
Option 0, Protamine sulfate, is the antidote for heparin and can effectively reverse its anticoagulative effect. Heparin has an opposing action but isn’t typically used as a first-line reversal agent. Vitamin K is used to treat warfarin toxicity, while aspirin doesn't have any reversing properties.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient receiving heparin therapy develops a sudden drop in platelet count. The nurse should immediately suspect which potential complication?
सही उत्तर: क) Heparin-Induced Thrombocytopenia (HIT)
Option 0, HIT, is the most likely diagnosis given heparin’s known association with thrombocytopenia. PE and ARF are less directly related to heparin administration, while hypovolemia doesn't account for the platelet reduction.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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