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Naam: ____________________ Datum: ____________
1.Makkelijk
Which of these intravenous fluids is isotonic?
A10% glucose
B8,4% sodium bicarbonate
C0,9% sodium chloride
D3% sodium chloride
2.Makkelijk
Moisture-associated skin damage is mainly caused by:
AProlonged contact with urine, faeces or sweat
BA deep tissue infection
CAn allergy to the bed sheets
DPressure over a bony area for a long time
3.Makkelijk
Who is responsible for obtaining a patient's informed consent for surgery?
AThe patient's closest relative or the person named as next of kin
BThe theatre porter
CThe clinician doing the procedure, or a suitably trained delegate
DThe ward nurse who admits the patient on the day of surgery
4.Gemiddeld
During a red cell transfusion, when are serious acute reactions most likely to start?
AIn the first 15 minutes
BAbout 24 hours later
CAfter the third unit only
DOnly after the unit has finished
5.Gemiddeld
Why are patients asked to fast before a general anaesthetic?
ATo prevent postoperative constipation and abdominal bloating
BTo lower the blood glucose before surgery
CTo make the surgery shorter
DTo reduce the risk of aspirating stomach contents
6.Gemiddeld
A patient is prescribed two different eye drops at the same time. What is correct?
AMix the two drops in one bottle
BGive both drops at once into the same eye
CGive one drop now and the other the next day
DWait about five minutes between the two drops
7.Moeilijk
A patient has a blood pressure of 220/130 mmHg with headache, confusion and visual disturbance. Why is the blood pressure lowered in a controlled way rather than as fast as possible?
ARapid lowering causes hyperglycaemia
BA sudden drop can reduce blood flow to the brain, heart and kidneys
CRapid lowering always causes the hypertension to come back much worse
DBlood pressure cannot be lowered with drugs
8.Moeilijk
In a patient with a head injury, which is usually the earliest sign of rising intracranial pressure?
AA change in level of consciousness
BA slow pulse with high blood pressure
CIrregular breathing pauses
DA fixed, dilated pupil on both sides
Antwoordenblad
1. C · 0,9% sodium chloride
2. A · Prolonged contact with urine, faeces or sweat
3. C · The clinician doing the procedure, or a suitably trained delegate
4. A · In the first 15 minutes
5. D · To reduce the risk of aspirating stomach contents
6. D · Wait about five minutes between the two drops
7. B · A sudden drop can reduce blood flow to the brain, heart and kidneys
8. A · A change in level of consciousness
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