Werkblad Medisch-chirurgisch: cardiovasculair en respiratoir met antwoorden

Which cardiac arrest rhythms are shockable?

1. AAsystole and pulseless electrical activity with a slow rate
2. BAtrial fibrillation and atrial flutter
3. CSinus rhythm and sinus tachycardia with a normal pulse
4. DVentricular fibrillation and pulseless ventricular tachycardia

In hospital, how is oxygen therapy treated?

1. AAs a comfort measure that needs no prescription or monitoring
2. BAs a treatment kept only for patients who are near the end of life
3. CAs a medicine that needs a prescription with a target range
4. DAs a treatment that patients adjust themselves

What is an aneurysm?

1. AA complete blockage of an artery by plaque
2. BA tear in the inner lining of a vein
3. CAn abnormal bulging of a weakened artery wall
4. DA blood clot in a deep vein

Welk advies helpt DVT te voorkomen tijdens een lange vlucht of na een operatie?

1. AMinder drinken om niet naar het toilet te hoeven
2. BVoor het comfort met gekruiste benen zitten
3. CRegelmatig enkeloefeningen doen en voldoende vocht drinken
4. DStrakke elastieken net onder de knie dragen

A patient is going home with a 24-hour Holter monitor. Which instruction is most important?

1. AShower as normal with the monitor on
2. BRemove the monitor whenever symptoms occur and restart it
3. CKeep a diary of symptoms and activities with the times
4. DStay in bed for the full 24 hours so the trace is clear

A patient taking simvastatin drinks a large glass of grapefruit juice every morning. Why is this a concern?

1. AIt causes the cholesterol level to rise sharply
2. BIt turns the statin into a blood thinner
3. CIt stops the statin from being absorbed from the gut at all
4. DIt raises statin levels and the risk of muscle damage

A patient with a COPD exacerbation has been on NIV for two hours. They are now more drowsy, and the pH has fallen further despite a good mask fit. What should the nurse do?

1. ARemove the mask and give nebulised bronchodilators only from now on
2. BContinue NIV unchanged and repeat the blood gas tomorrow morning
3. CGive a sedative to help the patient tolerate the mask
4. DEscalate urgently for review of intubation or a ceiling of care

A nurse receives handover on four patients. Which patient should be seen first?

1. AA patient with pneumonia on IV antibiotics who now has a temperature of 38,2 °C
2. BA patient with asthma who wants a reliever inhaler before a walk
3. CA patient on day 1 after surgery who is newly restless, RR 30/min, SpO₂ 88% on 4 L/min
4. DA patient with COPD on 1 L/min whose SpO₂ has been 89% and stable throughout the night