Werkblad Medisch-chirurgisch: cardiovasculair en respiratoir met antwoorden

Which side effects are common after inhaled salbutamol (albuterol)?

1. AWeight gain and ankle swelling
2. BFine tremor and a fast heart rate
3. CDrowsiness and a slow heart rate
4. DConstipation and dry eyes

Which three signs make up Beck's triad in cardiac tamponade?

1. AHigh blood pressure, a slow pulse and irregular breathing
2. BChest pain, ST elevation and raised troponin
3. CLow blood pressure, distended neck veins and muffled heart sounds
4. DFever, a new heart murmur and splinter haemorrhages under the nails

Which side effect is particularly linked with spironolactone in men?

1. AOrange-red colouring of the urine
2. BBreast enlargement (gynaecomastia)
3. CHair loss on the scalp and eyebrows
4. DA persistent dry, tickly cough

A patient who had a leg amputation says they feel burning pain in the missing foot. What is the best response?

1. ATell the patient the pain must be imaginary as the foot has gone
2. BAdvise that it will be ignored until it stops
3. CExplain that phantom limb pain is real and arrange treatment
4. DExplain that burning pain in the missing foot shows wound infection

Welke set bijwerkingen is typisch voor thiazide- of thiazideachtige diuretica zoals indapamide?

1. AHoog kalium en natrium, laag urinezuur en lage bloedglucose
2. BHoog natrium en magnesium, met lage bloedglucose
3. CLaag kalium en natrium, verhoogd urinezuur en verhoogde glucose
4. DDroge hoest, smaakstoornis en zwelling van de lippen

A patient with chest pain has a first troponin result within the normal range one hour after the pain started. Why is a repeat test arranged?

1. ATroponin falls during an MI, so a lower value confirms it
2. BThe repeat test is only needed for patients over 80
3. CThe first sample is always contaminated
4. DTroponin may take a few hours to rise after muscle damage

A patient who has had a total laryngectomy becomes breathless and needs oxygen. How should it be given?

1. AVia a non-rebreather mask over the mouth only
2. BVia a standard face mask over the nose and mouth
3. CVia nasal cannula at 2 L/min
4. DVia a mask or humidified device over the neck stoma

Een uur na hartchirurgie heeft een mediastinale drain 350 mL helderrood bloed afgevoerd en stijgt de hartfrequentie. Wat moet de verpleegkundige doen?

1. AHet volume noteren en de uurlijkse controles voortzetten
2. BDe slang elke vijf minuten krachtig uitstrijken
3. CDe drain afklemmen om verder bloedverlies te stoppen
4. DHet direct melden aan het chirurgisch team