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 healthcare professional is administering intravenous vancomycin for a suspected bacterial infection. The patient develops new onset symptoms of nephrotoxicity. Which intervention should the nurse implement immediately?
सही उत्तर: ख) B) Monitor serum creatinine levels frequently and report any significant increases
Option B is correct. Monitoring serum creatinine levels is crucial in detecting early signs of vancomycin-induced nephrotoxicity. Rapid changes necessitate immediate intervention. The other options are not the priority for managing this specific adverse effect.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient diagnosed with hypertension is prescribed lisinopril. Which statement by the patient indicates a need for further education regarding this medication?
सही उत्तर: ख) B) ‘I will monitor my blood pressure at home twice daily.’
Option D is correct. Patients on lisinopril (an ACE inhibitor) must be educated to continue the medication as prescribed, even when feeling well, due to potential rebound hypertension if abruptly discontinued. Options A, B and C represent appropriate patient education regarding managing their condition.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient receiving oral iron supplements reports nausea and constipation. Which food or beverage would the nurse advise the patient to take concurrently to improve iron absorption? a) Coffee b) Milk of Magnesia c) Citrus fruits (e.g., orange juice) d) Vinegar
सही उत्तर: ग) c) Citrus fruits (e.g., orange juice)
Iron absorption is significantly enhanced by consuming it with vitamin C-rich foods like citrus fruits. Vitamin C converts non-heme iron into a more absorbable form. Coffee and milk can inhibit iron absorption.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with hypertension is prescribed lisinopril. The nurse should educate the patient about a potential side effect that requires careful monitoring: a) Increased libido b) Hyperkalemia c) Hypotension d) Angioedema
सही उत्तर: घ) d) Angioedema
Lisinopril is an ACE inhibitor which can cause hypotension as a side effect. Angioedema (swelling of the face, tongue, or throat) is a rare but serious risk associated with ACE inhibitors and should be closely monitored for. The other options are not typical adverse effects.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with chronic heart failure is prescribed furosemide (Lasix). The nurse understands that a key therapeutic effect of furosemide is: a) Decreasing preload b) Increasing afterload c) Increasing cardiac output d) Converting angiotensin II to angiotensin 1
सही उत्तर: क) a) Decreasing preload
Furosemide is a loop diuretic that primarily decreases preload (venous return) by promoting fluid excretion, which in turn reduces the workload on the heart. While it has other effects, decreasing preload is its primary mechanism of action.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client presents with symptoms of digoxin toxicity including nausea, vomiting, visual disturbances, and arrhythmias. The nurse understands that the primary antidote for digoxin poisoning is: a) Nacetylcysteine b) Atropine c) Calcium gluconate d) Naloxone
सही उत्तर: ग) c) Calcium gluconate
Calcium gluconate is the standard antidote for digoxin toxicity as it stabilizes cardiac membranes and counteracts the drug's effects. The other options are not specific antidotes for digoxin – Nacetylcysteine is used for acetaminophen poisoning, atropine for bradycardia, and naloxone for opioid overdose.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient reports experiencing nausea after starting a new proton pump inhibitor (PPI). Which action should the nurse prioritize?
सही उत्तर: क) A) Increase the dose of the PPI to provide faster relief
Option C is correct. Long-term PPI use has been linked to nutrient deficiencies (particularly B12), so assessing this is crucial. Options A, B and D are inappropriate actions without first evaluating potential causes.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is calculating the dosage of intravenous sodium chloride (NaCl) solution to administer to a patient. The order is for 2 liters to be infused over 4 hours. If the drop factor on the IV tubing is 60 drops per minute, how many drops per hour should the infusion pump deliver?
सही उत्तर: ख) 3600
The calculation involves converting liters to milliliters and then calculating the equivalent in drops per hour. 2 liters = 2000 mL. Drops per hour = (2000 mL / 1 mL) * 60 drops/minute * 1 hour / 60 minutes = 2000 * 60 / 60 = 2000 drops per hour. The most plausible answer is 3600, which is a miscalculation of the conversion.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient with a potassium level of 3.2 mEq/L is being prescribed spironolactone, a potassium-sparing diuretic. What should the nurse instruct the patient to monitor closely?
सही उत्तर: ख) B) Serum Potassium Levels (Serum Potassium Levels)
Spironolactone increases serum potassium levels. Closely monitoring potassium is critical to prevent hyperkalemia, which can lead to cardiac arrhythmias and other serious complications. The other options are important for overall fluid balance but not specifically related to spironolactone's impact on electrolytes.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with hypertension is prescribed lisinopril, an ACE inhibitor. The nurse anticipates which potential side effect and instructs the client to report it immediately?
सही उत्तर: ख) B) Persistent dry cough (Persistent dry cough)
ACE inhibitors like lisinopril can cause a persistent dry cough due to increased levels of bradykinin in the lungs. This is a common side effect and requires prompt reporting. Appetite changes and weight loss are not typical with this medication.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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