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Naam: ____________________ Datum: ____________
1.Makkelijk
Welke methode van handhygiëne is nodig na de zorg voor een patiënt met diarree door Clostridioides difficile?
AAlleen handalcohol
BGeen handhygiëne als er handschoenen werden gedragen
CDe handen afvegen aan een papieren handdoek
DWassen met water en zeep
2.Makkelijk
Which urine dipstick findings most suggest a urinary tract infection?
AGlucose and ketones
BA low specific gravity alone
CBilirubin and urobilinogen
DNitrites and leucocytes
3.Makkelijk
What is a blood culture used to detect?
AThe patient's blood group
BBacteria or fungi in the bloodstream
CThe number of red cells
DThe level of glucose in the blood
4.Gemiddeld
Why is blood pressure monitored closely in a patient with an epidural infusion?
AThe epidural pump uses the blood pressure to set the rate
BEpidurals always cause severe hypertension that needs regular treatment
CBlood pressure readings show whether the catheter is infected
DThe local anaesthetic can block sympathetic nerves and cause hypotension
5.Gemiddeld
An older adult has left lower abdominal pain, fever and a raised CRP. Which condition is most likely?
ADiverticulitis
BBiliary colic
CGastric ulcer
DAppendicitis
6.Gemiddeld
A patient taking a statin reports unexplained muscle pain and weakness. What should the nurse do?
ATell them to double the dose
BAdvise more vigorous exercise to work through it
CReassure them that this is a sign the drug is working
DReport it, as statins can cause muscle damage
7.Moeilijk
Which patient should the nurse assess first?
AA patient with asthma who can only speak in single words
BA postoperative patient who rates their pain as 6/10
CA patient with diabetes whose glucose is 11 mmol/L (198 mg/dL) before lunch
DA patient with COPD whose SpO2 is 89% and within their target range
8.Moeilijk
Which feature suggests moisture-associated skin damage rather than a pressure ulcer?
ADiffuse, superficial redness in a skin fold, not over a bony prominence
BNon-blanching redness directly over the hip bone after lying on one side
CA round area of necrosis over the heel
DA deep wound over the sacrum with exposed bone and a dark base
Antwoordenblad
1. D · Wassen met water en zeep
2. D · Nitrites and leucocytes
3. B · Bacteria or fungi in the bloodstream
4. D · The local anaesthetic can block sympathetic nerves and cause hypotension
5. A · Diverticulitis
6. D · Report it, as statins can cause muscle damage
7. A · A patient with asthma who can only speak in single words
8. A · Diffuse, superficial redness in a skin fold, not over a bony prominence
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