Werkblad Medisch-chirurgisch: cardiovasculair en respiratoir met antwoorden
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Naam: ____________________ Datum: ____________
1.Makkelijk
What is the normal range for arterial PaCO₂?
AAbout 8,0–9,0 kPa (60–68 mmHg)
BAbout 4,7–6,0 kPa (35–45 mmHg)
CAbout 10–13 kPa (75–100 mmHg)
DAbout 1,0–2,0 kPa (8–15 mmHg)
2.Makkelijk
Legionnaires' disease is usually acquired from which source?
AEating undercooked chicken or eggs bought from a market stall
BContaminated water systems such as cooling towers and showers
CMosquito bites when travelling in warm, humid countries
DContact with cats' litter trays while cleaning them at home
3.Makkelijk
What is an embolus?
AA narrowing of an artery caused by a build-up of fatty plaque
BA clot that stays fixed in the vessel where it first formed
CA bulge in the weakened wall of an artery that may rupture
DA clot or other mass that travels in the blood and lodges elsewhere
4.Gemiddeld
Why are IV fluids given cautiously to a patient with heart failure?
AIV fluids stop diuretics from being absorbed
BExtra volume can quickly cause pulmonary oedema
CIV fluids directly damage the heart valves
DIV fluids lower the blood pressure dangerously
5.Gemiddeld
Why must anti-embolism stockings be measured and fitted correctly?
ATight stockings work better, so the smallest size is always best
BPoorly fitting stockings can cause pressure damage
CLoose stockings make the patient's legs too warm at night
DCorrect fit is needed only to improve the appearance
6.Gemiddeld
Why are beta-blockers often started after a myocardial infarction?
AThey lower the heart's oxygen demand and reduce arrhythmias
BThey dissolve the clot that is blocking the coronary artery
CThey reduce cholesterol in the blood
DThey raise the heart rate to improve blood flow to the muscle
7.Moeilijk
An older ex-smoker has a dry cough and worsening breathlessness over a year, finger clubbing and fine "Velcro-like" crackles at both bases at the end of inspiration. Which condition is most likely?
AAn acute asthma attack
BIdiopathic pulmonary fibrosis
CCommunity-acquired pneumonia
DSpontaneous pneumothorax
8.Moeilijk
Thirty minutes after extubation, a patient develops a high-pitched noise on breathing in and is anxious. SpO₂ is falling. What should the nurse do?
AGive a large drink of cold water to soothe the throat and settle it
BLay the patient flat and reassure them
CSit the patient up, give oxygen and call for urgent airway help
DEncourage the patient to sleep it off and recheck them in an hour
Antwoordenblad
1. B · About 4,7–6,0 kPa (35–45 mmHg)
2. B · Contaminated water systems such as cooling towers and showers
3. D · A clot or other mass that travels in the blood and lodges elsewhere
4. B · Extra volume can quickly cause pulmonary oedema
5. B · Poorly fitting stockings can cause pressure damage
6. A · They lower the heart's oxygen demand and reduce arrhythmias
7. B · Idiopathic pulmonary fibrosis
8. C · Sit the patient up, give oxygen and call for urgent airway help
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