Werkblad Medisch-chirurgisch: neurologie, endocrinologie en nieren met antwoorden
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Naam: ____________________ Datum: ____________
1.Makkelijk
What is the most common type of kidney stone?
AUric acid
BCalcium oxalate
CStruvite
DCystine
2.Makkelijk
Which cranial nerves are mainly involved in the gag reflex?
AGlossopharyngeal (IX) and vagus (X)
BOlfactory (I) and optic (II)
COculomotor (III) and abducens (VI)
DTrigeminal (V) and facial (VII)
3.Makkelijk
How should a patient collect a midstream urine sample?
ACollect the very first drops into the container
BLet the first part go in the toilet, then catch the middle
CCollect urine from the toilet bowl afterwards
DCollect urine over 24 hours into one bottle
4.Gemiddeld
A patient with multiple sclerosis says their symptoms get worse after a hot bath. What should the nurse explain?
AHeat can briefly worsen MS symptoms, which settle when they cool down
BThis shows that the disease has entered a new progressive stage
CHot baths cause new areas of damage in the brain
DThey should take very cold baths to reverse the damage
5.Gemiddeld
A urine dipstick is positive for nitrites. What does this suggest?
AThe patient is dehydrated and needs more fluid
BBacteria that convert nitrate are present
CThe kidneys are losing too much protein
DThe urine has a lot of glucose in it
6.Gemiddeld
Which side effects are common with oxybutynin for an overactive bladder?
AWeight loss and a fast tremor
BA cough and a raised potassium
CDry mouth and constipation
DDiarrhoea and heavy sweating
7.Moeilijk
Weeks after starting insulin, a patient with newly diagnosed type 1 diabetes needs much less insulin and has frequent mild hypos. What is the most likely explanation?
AThe insulin has gone off and should be replaced
BThe diabetes has been cured, so insulin can stop
CA honeymoon phase, but insulin is still needed
DThe patient actually has type 2 diabetes
8.Moeilijk
Een patiënt met centrale diabetes insipidus begint met desmopressine. Op welke complicatie moet de verpleegkundige letten?
AHyponatriëmie
BHyperglykemie
CErnstige diarree
DHyperkaliëmie
Antwoordenblad
1. B · Calcium oxalate
2. A · Glossopharyngeal (IX) and vagus (X)
3. B · Let the first part go in the toilet, then catch the middle
4. A · Heat can briefly worsen MS symptoms, which settle when they cool down
5. B · Bacteria that convert nitrate are present
6. C · Dry mouth and constipation
7. C · A honeymoon phase, but insulin is still needed
8. A · Hyponatriëmie
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