1 :

Hint : Antihistamines = Anti-histamine effects (blocking, not making)

Correct Answers:

  • By blocking the effects of histamine in the body


Rationale :
♦️Antihistamines block histamine (H1 or H2 receptors), preventing symptoms like itching, swelling, and congestion caused by allergic reactions. ♦️They do not reduce inflammation directly or stimulate the immune system.

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2 :

Hint : Thiazides = Think potassium loss → cramps

Correct Answers:

  • "Monitor for leg cramps:


Rationale :
♦️Hydrochlorothiazide can cause hypokalemia, which often manifests as leg cramps or muscle weakness. ♦️ Potassium loss is common, so increased, not reduced, potassium intake is important. It should be taken in the morning to avoid nocturia.

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3 :

Hint : Total volume ÷ time = mL/hr

Correct Answers:

  • 125


Rationale :
➡️1000 mL÷8 hr=125 mL/hr 🎯This is the correct infusion rate for the IV fluid.

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4 :

Hint : ACE = Angiotensin Converting Enzyme → Cough

Correct Answers:

  • unrelenting cough.


Rationale :
ACE inhibitors (e.g., lisinopril) prevent conversion of angiotensin I to II in the lungs, often causing persistent dry cough due to bradykinin accumulation.

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5 :

Hint : Bethanechol = Bladder contraction helper

Correct Answers:

  • Frequent episodes of painful urination


Rationale :
♦️Bethanechol is used to treat urinary retention by stimulating bladder contractions. ♦️It is not used for spasms or pain.

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6 :

Hint : Donepezil = Dizzy spells possible

Correct Answers:

  • "Syncope episodes may occur when taking this medication.


Rationale :
♦️Donepezil, a cholinesterase inhibitor, may cause bradycardia, leading to syncope, especially in older adults. ♦️It is typically given at bedtime, not in the morning.

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7 :

Hint : Propranolol = Pulse & Pressure control

Correct Answers:

  • Arrhythmias
  • Hypertension
  • Angina


Rationale :
♦️Propranolol is a nonselective beta-blocker used to treat high blood pressure, irregular heart rhythms, and chest pain. ♦️ It’s not used for hypokalemia or hypoglycemia; in fact, it may mask hypoglycemia symptoms.

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8 :

Hint : Beta-blockers = Block heart rate → Hold if too low

Correct Answers:

  • Heart rate 46/min


Rationale :
♦️Atenolol, a beta-blocker, can cause bradycardia. A heart rate below 50 bpm is a contraindication for administration. ♦️ The other vitals are within acceptable limits.

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9 :

Hint : Spironolactone = Save potassium → Avoid high-K foods

Correct Answers:

  • Bananas


Rationale :
Spironolactone is a potassium-sparing diuretic, so high-potassium foods like bananas should be avoided to prevent hyperkalemia.

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10 :

Hint : Propranolol = Problem for lungs

Correct Answers:

  • Migraines


Rationale :
Propranolol is a nonselective beta-blocker that can cause bronchoconstriction, making it dangerous for clients with asthma.

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Total Questions: 10

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