Werkblad Medisch-chirurgisch: cardiovasculair en respiratoir met antwoorden
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Naam: ____________________ Datum: ____________
1.Makkelijk
Where in the kidney does furosemide mainly act?
AThe loop of Henle
BThe collecting duct only
CThe renal artery
DThe glomerulus
2.Makkelijk
What is Kussmaul breathing?
ANoisy breathing caused by a blocked upper airway
BVery slow, shallow breathing from opioids
CBreathing that alternates between deep breaths and pauses
DDeep, rapid breathing in response to metabolic acidosis
3.Makkelijk
Which cardiac arrest rhythms are shockable?
ASinus rhythm and sinus tachycardia with a normal pulse
BVentricular fibrillation and pulseless ventricular tachycardia
CAsystole and pulseless electrical activity with a slow rate
DAtrial fibrillation and atrial flutter
4.Gemiddeld
Which ECG change is classically linked with hyperkalaemia?
AProminent U waves
BA sawtooth baseline
CTall, peaked T waves
DDelta waves before the QRS
5.Gemiddeld
A patient with stable angina is afraid nicotine patches will harm their heart. Which reply is most accurate?
APeople with angina must stop smoking without any help
BNicotine patches are much more harmful to the heart than cigarettes
CNicotine replacement is much safer than smoking and is recommended
DNicotine replacement only works if smoking continues
6.Gemiddeld
A patient uses a glyceryl trinitrate (nitroglycerin) patch for angina. Why is it usually removed for several hours each day?
AThe skin needs a break to absorb a larger dose
BIt lowers the risk of a high potassium level
CThe patch works only during the night
DA nitrate-free interval prevents tolerance
7.Moeilijk
A patient with lung cancer develops swelling of the face and arms, distended neck and chest veins and breathlessness that is worse when bending forward. What is the most likely cause?
AAn allergic reaction to chemotherapy
BSuperior vena cava obstruction
CRight-sided heart failure
DA deep vein thrombosis in the leg
8.Moeilijk
Four hours after abdominal surgery, a patient's heart rate has risen from 84 to 122/min and they are restless and pale. BP is still 118/76 mmHg, and the surgical drain is filling with blood. What should the nurse conclude?
AThe drain is working well, so no action is needed
BThe tachycardia is from pain and needs only analgesia
CThe patient is stable because the blood pressure is normal
DEarly haemorrhagic shock is likely, so escalate urgently
Antwoordenblad
1. A · The loop of Henle
2. D · Deep, rapid breathing in response to metabolic acidosis
3. B · Ventricular fibrillation and pulseless ventricular tachycardia
4. C · Tall, peaked T waves
5. C · Nicotine replacement is much safer than smoking and is recommended
6. D · A nitrate-free interval prevents tolerance
7. B · Superior vena cava obstruction
8. D · Early haemorrhagic shock is likely, so escalate urgently
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