Werkblad Medisch-chirurgisch: cardiovasculair en respiratoir met antwoorden

In which situation can a pulse oximeter show a falsely normal reading?

1. ABreathing room air
2. BA warm hand at rest
3. CCarbon monoxide poisoning
4. DA regular pulse of 80/min

Which side effect is typical of ACE inhibitors such as ramipril or lisinopril?

1. AA persistent dry cough
2. BSwelling of both ankles
3. CA productive cough with green sputum
4. DA fast, irregular heart rate

Welk advies moet worden gegeven aan een patiënt die een antistollingsmiddel gebruikt?

1. AVoortaan alle groene groenten vermijden
2. BEen dosis overslaan zodra een kleine blauwe plek verschijnt
3. CIbuprofen innemen in plaats van paracetamol bij pijn
4. DEen zachte tandenborstel gebruiken en ongewone bloedingen melden

How can a patient reduce wound pain when coughing after abdominal surgery?

1. AAvoid coughing completely until all the stitches are removed
2. BLie flat on the back with the legs straight
3. CHold a pillow firmly against the wound while coughing
4. DHold the breath for as long as possible

A nurse measures blood pressure on a large upper arm using a cuff that is too small. What effect will this have?

1. AThe reading will be falsely low
2. BOnly the pulse rate will be affected
3. CThe reading will be falsely high
4. DThe reading will be accurate but slower

A patient with bronchiectasis of the right lower lobe is taught postural drainage. How should they be positioned?

1. AWith the affected lobe lowest so it fills with mucus
2. BFlat on the back with the arms raised
3. CSitting fully upright at all times
4. DWith the affected lobe uppermost so gravity drains it

Een patiënt met COPD gaat naar huis met langdurige zuurstoftherapie. Welk voorlichtingspunt is het belangrijkst voor de veiligheid?

1. AVaseline gebruiken om droge neusgaten te verzachten
2. BHet debiet zo hoog zetten als nodig is wanneer de patiënt kortademig is
3. CReservecilinders naast het fornuis bewaren
4. DNooit roken of open vuur in de buurt van de zuurstof toestaan

Which instruction from the registered nurse to a healthcare assistant (unlicensed assistive personnel) caring for a patient with COPD is most appropriate?

1. A"Teach him how to use his new inhaler this afternoon after his rest."
2. B"Tell me straight away if his SpO₂ is under 88% or he is more breathless."
3. C"Turn his oxygen up to whatever he needs if he looks short of breath."
4. D"Listen to his chest after lunch and let me know what you can hear."