Werkblad Medisch-chirurgisch: cardiovasculair en respiratoir met antwoorden

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Naam: ____________________   Datum: ____________

1.Makkelijk

Which examination findings are typical of a large pleural effusion?

  1. AHyper-resonance and a loud wheeze over the affected side
  2. BDullness to percussion and reduced breath sounds
  3. CCoarse crackles that clear on coughing
  4. DNormal percussion and bronchial breathing
2.Makkelijk

What is the classic clinical definition of chronic bronchitis?

  1. AA dry cough lasting about one week after a common cold
  2. BA cough with sputum most days for 3 months in 2 years running
  3. CA single episode of coughing up blood after a chest infection
  4. DWheeze and chest tightness that occur only during exercise
3.Makkelijk

Wat is het gebruikelijke debiet voor zuurstof via een standaard neusbril bij volwassenen?

  1. A10–15 L/min
  2. B1–6 L/min
  3. C20–40 L/min
  4. D0,1–0,2 L/min
4.Gemiddeld

A patient on nasal cannula oxygen breathes mainly through the mouth. What is the most accurate statement?

  1. AIt has no effect at all in mouth breathers and must be stopped
  2. BThe cannula should be placed in the mouth
  3. CThe flow must be increased to 15 L/min to make it work at all
  4. DIt can still work, because oxygen collects in the nasopharynx
5.Gemiddeld

During airway suctioning, when should suction be applied?

  1. AOnly while inserting the catheter
  2. BContinuously for at least 30 seconds
  3. CBefore the catheter enters the airway
  4. DOnly while withdrawing the catheter
6.Gemiddeld

A patient's capillary refill time at the fingertip is 4 seconds. What does this suggest?

  1. AA high haemoglobin level
  2. BNormal peripheral perfusion
  3. CReduced peripheral perfusion
  4. DAn unusually strong cardiac output
7.Moeilijk

A patient being treated for pulmonary TB repeatedly misses doses and stops when they feel better. Which strategy is most effective?

  1. ASwitching to a single drug to make it easier
  2. BDoubling the dose on the days the patient remembers to take it
  3. CDirectly observed therapy with support for barriers to adherence
  4. DStopping treatment, as it is clearly not working for this patient
8.Moeilijk

A ventilated patient with severe ARDS is to be turned prone. What is the main reason, and the key nursing risk?

  1. AIt lowers the blood pressure; the main risk is rebound hypertension
  2. BIt treats infection; the risk is fever
  3. CIt improves digestion and gut motility; the main risk is constipation
  4. DIt improves oxygenation; risks are pressure injury and tube displacement

Antwoordenblad

  1. 1. B · Dullness to percussion and reduced breath sounds
  2. 2. B · A cough with sputum most days for 3 months in 2 years running
  3. 3. B · 1–6 L/min
  4. 4. D · It can still work, because oxygen collects in the nasopharynx
  5. 5. D · Only while withdrawing the catheter
  6. 6. C · Reduced peripheral perfusion
  7. 7. C · Directly observed therapy with support for barriers to adherence
  8. 8. D · It improves oxygenation; risks are pressure injury and tube displacement

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