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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How should sublingual nitroglycerin be used for acute chest pain?
सही उत्तर: ग) One tablet every 5 minutes, up to 3 doses
One tablet is taken every 5 minutes, up to 3 doses. Emergency services are usually called if pain is not improved 5 minutes after the first dose.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client taking simvastatin should avoid large amounts of which juice?
सही उत्तर: ख) Grapefruit juice
Grapefruit inhibits CYP3A4, raising simvastatin levels and myopathy risk. This interaction also applies to some calcium channel blockers.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client taking a statin reports unexplained muscle pain and weakness. What should the nurse suspect?
सही उत्तर: क) Myopathy or rhabdomyolysis
Statins can cause myopathy, which may progress to rhabdomyolysis and kidney injury. The prescriber should be notified and creatine kinase checked.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which adverse effect is common with calcium channel blockers such as amlodipine?
सही उत्तर: घ) Peripheral (ankle) edema
Dihydropyridine calcium channel blockers dilate arterioles, causing ankle edema. Dry cough is characteristic of ACE inhibitors.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which electrolyte imbalance is most common with furosemide?
सही उत्तर: ग) Hypokalemia
Furosemide, a loop diuretic, causes loss of potassium, sodium and magnesium. Potassium-rich foods or supplements may be needed.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which electrolyte should be monitored closely in a client taking spironolactone?
सही उत्तर: ख) Potassium
Spironolactone is a potassium-sparing diuretic that can cause hyperkalemia. Clients should avoid potassium supplements and salt substitutes containing potassium.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which rare but life-threatening adverse effect of ACE inhibitors requires immediate action?
सही उत्तर: क) Angioedema
Angioedema can swell the tongue and airway and threaten breathing. The drug is stopped permanently and airway management takes priority.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client taking an ACE inhibitor such as lisinopril reports a persistent dry cough. What is the cause?
सही उत्तर: घ) Accumulation of bradykinin
ACE also breaks down bradykinin; its accumulation causes cough. Switching to an angiotensin receptor blocker usually resolves the cough.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which laboratory change is expected with long-term prednisone therapy?
सही उत्तर: ग) Increased blood glucose
Glucocorticoids increase gluconeogenesis and insulin resistance, causing hyperglycemia. They tend to lower potassium and lymphocytes.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Why must long-term corticosteroid therapy be tapered rather than stopped abruptly?
सही उत्तर: ख) To prevent acute adrenal insufficiency
Long-term steroids suppress the hypothalamic-pituitary-adrenal axis, so abrupt withdrawal can cause adrenal crisis. Tapering lets the adrenal glands recover.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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