第九章药物治疗与护理技术学习指导(4)

2019-04-16 14:44

A.洛贝林 B.非那根

C.阿托品 D.葡萄糖酸钙 E.盐酸肾上腺素

34.下列药物中,不需做过敏试验的是

A.破伤风抗毒素 B.链霉素 C.普鲁卡因 D.利多卡因 E.青霉素

35.超声波雾化吸入治疗完毕,不需消毒的物品是

A.雾化罐 B.水槽 C.螺纹管 D.口含嘴 E.面罩

36.错误的静脉注射操作是

A.严格无菌操作 B.抽吸药液,排尽空气 C.针头与皮肤呈40°角进针 D.见回血松止血带,方可推药 E.药液不可溢出血管外

37.先锋霉素V皮试液每毫升含量为

A.60μg B.100μg C.10mg D.1mg

E.100mg

A2型题

38.梁先生,因有机磷农药中毒, 医嘱予硫酸镁15g溶于水,由胃管灌入;唐女士,因患妊娠高血压综合征,医嘱予10%硫酸镁10ml肌内注射。两位病人用同一种类药物选择不同的给药途径是因为

A.病人抵抗力不同 B.药物吸收速度不同

C.药物副作用不同 D.护理人员技术性差异

E.两人治疗目的不同,而不同的给药途径,可产生的作用和用途不同 39.高先生,70岁。慢性支气管炎,近几日咳嗽加剧,痰液粘稠,不易咳出。雾化吸入治疗的首选药物是

A.舒喘灵 B.氨茶碱

C.地塞米松 D.a-糜蛋白酶 E.卡那霉素

40.华盈盈, 20个月。因急性支气管炎遵医嘱用青霉素治疗,用药第十天,出现发热、关节肿痛,全身淋巴结肿大,腹痛。应考虑为 A.消化系统过敏反应 B.皮肤过敏反应

C.血清病型反应 D.合并流行性感冒 E.注射部位感染致全身反应

41.王女士,35岁。因尿路感染遵医嘱口服复方磺胺甲噁唑(复方新诺明),正确的用药指导是

A.保暖 B.多饮水 C.药物研碎服用 D.加强体育锻炼 E.睡前服药

42.吴先生,32岁。TAT皮试结果阳性,因病情需要,采用脱敏注射,正确的方法和药物剂量为

A.分三等份分次注射 B.分四等份分次注射 C.分三次注射,剂量递增 D.分四次注射,剂量递增 E.分四次注射,剂量递减

A3型题

(43 ~ 45题共用题干)

甘先生,70岁。因上呼吸道感染诱发哮喘发作,遵医嘱用氨茶碱0.25g加入50%葡萄糖40ml静脉注射。

43.氨茶碱的保管要求须符合

A.盖紧 B.置阴凉处

C.远离明火 D.冰箱保存 E.盒内有黑纸遮盖

44.氨茶碱除静脉注射外,还可以选择

A.皮下注射 B.肌内注射

C.超声波雾化吸入 D.灌肠 E.外用

45.指导甘先生预防哮喘发作的主要措施是

A.预防感冒 B.坚持长期使用抗生素

C.坚持每日跑步 D.住隔离房间 E.不与任何人交往 (46 ~ 49题共用题干)

李女士,56岁,糖尿病,同时患肺炎球菌性肺炎,住院治疗。医嘱:胰岛素8U饭前30min皮下注射;青霉素800万单位静脉滴注,每日一次(用五日);咳必清25mg,口服,每日三次。

46.实习护士小王准备执行注射胰岛素医嘱,需带教老师纠正的操作是

A.于饭前30min注射 B.选用2ml注射器 C.注射部位选择上臂三角肌下缘 D.常规消毒注射处皮肤

E.针头与皮肤呈40°角进针

47.小王为病人做青霉素皮试,其皮试液的浓度是 A.20 ~ 50u/ml B.200 ~ 500u/ml

C.150IU/ml D.60μg/ml E.250Ou/ml

48.李女士在皮试过程中出现胸闷、气急、面色苍白、出冷汗、四肢湿冷, 首选的抢救措施是

A.平卧、吸氧、保暖、注射抗过敏药

B.平卧、吸氧、保暖、地塞米松 C.平卧、测血压、吸氧、保暖 D.平卧、吸氧、注射间羟胺 E.平卧、吸氧、注射盐酸肾上腺素 49.小王为李女士静脉穿刺时,不妥的操作是

A.选择手背静脉 B.在穿刺点上方6cm处扎止血带 C.针头与皮肤呈20度角 D.从静脉侧面进针 E.见回血注药 (50 ~ 51题共用题干)

吴小姐,20岁。因扁桃体化脓性感染,用青霉素治疗。皮试结果:皮丘红肿1.2cm,皮肤痒、胸闷、面色苍白、出冷汗。

50.病人发生此反应的原因是

A.皮试液浓度过高 B.病人为过敏性体质 C.机体抵抗力差 D.药液污染 E.病人皮肤白嫩易受刺激 51.为吴小姐采取的护理措施,首先是

A.人工呼吸 B.皮肤涂肤轻松 C.注射盐酸肾上腺素 D.静滴地塞米松 E.吸氧 二、英文选择题

Direction:Read each question carefully and choose the best answer. (认真阅读问题后,选出一个最佳答案)

52.Which of the following is not a benefit of oral medications?

A.Giving drugs orally does not break the skin barrier. B.Giving oral drugs usually does not cause stress. C.Oral drugs are usually less expensive. D.Oral drugs are rapidly absorbed.

53.Which medication order will be given every other day?

A.qd B.q8h C.po D.qod

54.A patient tells the nurse, “These pills don’t look like the ones I usually

take.”How should the nurse respond?

A.I”ll leave the pills here while I check with the doctor. B.Don’t take them until I recheck your medication orders. C.Take the pills you are familiar with and leave the rest. D.Go ahead and take your medicine

55.A female patient who has insulin-dependent diabetes mellitus is given

instructions in the administration of insulin. When she administers insulin to

herself, which of these actions observed by the nurse indicates the patient needs further instruction?

A.She rotates the insulin bottle before withdrawing the insulin.

B.She cleans the needle with the alcohol wipe before giving herself the insulin.

C.She holds the needle at a 30 angle to inject the insulin into her arm. D.She messages the injection site after administering the insulin.

56.A pregnant client is diagnosed with anemia, and iron replacement therapy is

prescribed. The nurse instructs the client that it is best to take the iron with? A.water

B.milk

C.decaffeinated tea D.tomato juice

57.The nurse is preparing to give a medication to one patient. Prior to doing this,

she reviews the five “rights” of drug administration EXCEPT? A.the right medication B.the right dose

C.the right order D.the right route

58.Which one of the following would be the best treatment for a person showing

the signs of an anaphylactic shock following a penicillin injection? A.intravenous cortisone B.intramuscular epinephrine C.intravenous epinephrine D.intramuscular diphenhydramine

59.Which of the following routes of medication administration is the fastest

absorbpation? A.oral medication B.hypodermic C.intramuscular


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