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

221. A client diagnosed with Type 2 Diabetes Mellitus is taking oral medications. Which of the following drug classes poses the greatest risk for precipitating hypoglycemia?

     कSulfonylureas खBiguanides (Metformin) गThiazolidinediones (TZDs) घDiabetic Platelet Aggregation Inhibitors
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

222. A client with Alzheimer's disease is prescribed Donepezil. This medication’s primary mechanism of action involves inhibiting acetylcholinesterase, leading to increased levels of acetylcholine in the synaptic cleft. Which of the following BEST describes this effect?

     कIncreased glutamate activity and neuronal excitability खDecreased neurotransmission at cholinergic synapses गStimulation of adrenergic receptors involved in memory formation घPromotion of oxidative stress contributing to neurodegeneration
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

223. A patient with type 2 diabetes is newly prescribed glimepiride (Glyburide). Which of the following instructions should the nurse provide to the patient regarding their diet?

     कConsume a high-protein diet to minimize postprandial glucose spikes. खIncrease carbohydrate intake as tolerated, without considering medication dosage. गMaintain consistent carbohydrate intake throughout the day and meals. घAvoid all fruit juices due to their high sugar content.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

224. A patient diagnosed with hypertension is started on lisinopril (Prinivil). Which assessment finding would MOST closely indicate the drug's effectiveness?

     कSystolic blood pressure consistently below 90 mmHg. खDiastolic blood pressure consistently below 60 mmHg. गAverage systolic and diastolic readings reduced by 10-20 mmHg compared to baseline. घA sudden increase in heart rate of 20 bpm.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

225. A patient receiving oral metronidazole (Flagyl) reports nausea and metallic taste in their mouth. What is the MOST appropriate nursing action?

     कAdminister an antiemetic medication as prescribed. खAdvise the patient to consume tart foods to counteract the metallic taste. गInstruct the patient to rinse their mouth frequently with water after each dose. घContinue the medication as scheduled, and monitor for improvement.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

226. A patient has been prescribed intravenous heparin for deep vein thrombosis (DVT). Which statement BEST describes the nurse's role in monitoring this patient?

     कAdministering the heparin dose according to the physician’s order without further assessment. खRegularly assessing platelet counts and obtaining a PT/INR to monitor for therapeutic effect. गInstructing the patient to report any signs of bleeding, such as nosebleeds or bruising. घEncouraging the patient to engage in regular physical activity to promote venous return.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

227. A patient with chronic heart failure is prescribed furosemide (Lasix). Which of the following nursing interventions is MOST important to minimize potential adverse effects associated with this medication?

     कAdminister the medication intravenously for rapid onset of action. खMonitor the patient’s potassium levels closely and provide dietary recommendations to increase intake. गAssess the patient's neurological status regularly, especially for signs of confusion or dizziness. घEncourage fluid intake to maintain hydration and renal perfusion.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

228. A client with diabetes taking a non-selective beta blocker is being educated about self-management. Why does the nurse emphasize meticulous glucose monitoring?

     कA) Beta-blockers increase the risk of hyperglycemia due to impaired insulin secretion. खB) Beta-blockers decrease glycogenolysis, leading to hypoglycemia. गC) Beta-blockers mask the symptoms of hypoglycemia, delaying recognition. घD) Beta-blockers increase insulin sensitivity, leading to hyperglycemia.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

229. Which laboratory test is MOST directly used to monitor the therapeutic effect of warfarin therapy?

     कA) Complete Blood Count (CBC) खB) Liver Function Tests (LFTs) गC) Prothrombin Time/International Normalized Ratio (PT/INR) घD) Urinalysis
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

230. A client taking digoxin develops symptoms of nausea, vomiting, and visual disturbances. What is the MOST immediate nursing action?

     कA) Administer activated charcoal to prevent absorption of the digoxin. खB) Immediately discontinue the digoxin and notify the physician. गC) Administer glucose to treat the hypoglycemia. घD) Initiate intravenous fluids and electrolyte replacement.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।