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 renal artery
BThe collecting duct only
CThe loop of Henle
DThe glomerulus
2.Makkelijk
Welke bloedtest wordt gebruikt om warfarinetherapie te controleren?
AAantal bloedplaatjes
BGeactiveerde partiële tromboplastinetijd
CAnti-Xa-spiegel
DINR (international normalised ratio)
3.Makkelijk
Which drug reverses the effect of unfractionated heparin?
AProtamine sulfate
BVitamin K (phytomenadione)
CNaloxone
DFlumazenil
4.Gemiddeld
A patient with diabetes is starting a beta-blocker. What should the nurse teach about hypoglycaemia?
AInsulin should be stopped while taking a beta-blocker
BHypoglycaemia will always cause a very slow and weak pulse
CSome warning signs, such as a fast heartbeat, may be masked
DThe beta-blocker will prevent all episodes of hypoglycaemia
5.Gemiddeld
A patient with angle-closure glaucoma needs nebulised ipratropium. What precaution is sensible?
AMix it with an eye drop before putting it in the nebuliser
BUse a mouthpiece or protect the eyes from the mist
CRun it at the highest possible gas flow
DGive it only with the patient lying completely flat
6.Gemiddeld
After a prescribed IV fluid bolus for hypotension, what should the nurse do next?
AReassess heart rate, blood pressure, urine output and lung sounds
BStop all monitoring if the patient says they feel better
CWait until the next routine observations in four hours
DStart a second fluid bolus straight away without checking anything
7.Moeilijk
A ventilated patient suddenly desaturates to 82%. The cause is not obvious and the ventilator alarms are sounding. What should the nurse do first?
ASilence the alarm and wait for the result of the next routine blood gas
BDisconnect and hand-ventilate with 100% oxygen while calling for help
CIncrease the sedation and watch the monitor for the next half hour
DChange the ventilator settings to a higher rate
8.Moeilijk
A nurse has four cardiac patients. Which one should be seen first?
AA patient with angina whose chest pain has not eased with rest and who is sweating
BA patient with heart failure whose weight is 0,3 kg up on yesterday's morning weight
CA patient after a radial angiogram asking when they can eat
DA patient with AF and a heart rate of 86/min who is due an apixaban dose this morning
Antwoordenblad
1. C · The loop of Henle
2. D · INR (international normalised ratio)
3. A · Protamine sulfate
4. C · Some warning signs, such as a fast heartbeat, may be masked
5. B · Use a mouthpiece or protect the eyes from the mist
6. A · Reassess heart rate, blood pressure, urine output and lung sounds
7. B · Disconnect and hand-ventilate with 100% oxygen while calling for help
8. A · A patient with angina whose chest pain has not eased with rest and who is sweating
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