Werkblad Medisch-chirurgisch: cardiovasculair en respiratoir met antwoorden
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Naam: ____________________ Datum: ____________
1.Makkelijk
What is the normal duration of the QRS complex on an adult ECG?
AMore than 0,50 seconds
BExactly 1 second
CLess than 0,12 seconds
DBetween 0,20 and 0,40 seconds
2.Makkelijk
What is the approximate tidal volume of a resting adult?
AAbout 500 mL
BAbout 5 litres
CAbout 1,5 litres
DAbout 50 mL
3.Makkelijk
Which procedure relieves cardiac tamponade?
ABronchoscopy
BCardioversion
CThoracentesis (pleural tap)
DPericardiocentesis
4.Gemiddeld
A patient taking simvastatin drinks a large glass of grapefruit juice every morning. Why is this a concern?
AIt causes the cholesterol level to rise sharply
BIt stops the statin from being absorbed from the gut at all
CIt turns the statin into a blood thinner
DIt raises statin levels and the risk of muscle damage
5.Gemiddeld
A patient with angle-closure glaucoma needs nebulised ipratropium. What precaution is sensible?
ARun it at the highest possible gas flow
BUse a mouthpiece or protect the eyes from the mist
CGive it only with the patient lying completely flat
DMix it with an eye drop before putting it in the nebuliser
6.Gemiddeld
A patient takes both digoxin and furosemide. Why does the nurse watch the potassium level closely?
APotassium has no link with either medicine
BHigh potassium is the main effect of furosemide
CLow potassium increases the risk of digoxin toxicity
DLow potassium makes digoxin stop working completely
7.Moeilijk
After a fall onto the chest, part of a patient's chest wall moves inward when they breathe in and outward when they breathe out. What does this indicate?
AA single simple rib fracture with no lung injury
BA large pleural effusion pressing on the chest wall
CNormal chest movement caused by pain on breathing
DA flail chest from ribs broken in more than one place
8.Moeilijk
A nurse teaches a patient who is starting warfarin. Which statement shows a need for further teaching?
A"If I miss a dose, I will take two the next day."
B"I will have regular INR blood tests."
C"I will tell my dentist that I take warfarin."
D"I will check before taking any new medicines or herbal remedies."
Antwoordenblad
1. C · Less than 0,12 seconds
2. A · About 500 mL
3. D · Pericardiocentesis
4. D · It raises statin levels and the risk of muscle damage
5. B · Use a mouthpiece or protect the eyes from the mist
6. C · Low potassium increases the risk of digoxin toxicity
7. D · A flail chest from ribs broken in more than one place
8. A · "If I miss a dose, I will take two the next day."
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