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Naam: ____________________ Datum: ____________
1.Makkelijk
How do second-generation antihistamines such as cetirizine and loratadine differ from older ones?
AThey cause much less drowsiness
BThey are given only by injection
CThey work only on the skin
DThey block H2 receptors in the stomach
2.Makkelijk
Before giving any medication, how should the nurse identify the patient?
AAsk "Are you Mr Jones?" and wait for a nod
BCheck the room and bed number against the medication chart
CUse two identifiers, such as full name and date of birth
DRead the name on the sign next to the door
3.Makkelijk
On the WHO analgesic ladder, which drugs form the first step?
AWeak opioids such as codeine or tramadol, used on their own
BLocal anaesthetic nerve blocks for all patients
CNon-opioids such as paracetamol and NSAIDs
DStrong opioids such as morphine given intravenously
4.Gemiddeld
Methylergometrine (methylergonovine) is prescribed for postpartum bleeding. Which finding would make the nurse withhold it and check with the prescriber?
ABlood pressure of 160/105 mmHg
BHaemoglobin slightly below normal
CHeart rate of 88 per minute
DTemperature of 37,2 °C (99 °F)
5.Gemiddeld
How should a patient take oral alendronate?
ACrushed into yoghurt with calcium supplements
BWith milk at bedtime, then lying down straight away to aid absorption
CWith breakfast and coffee to protect the stomach
DWith plain water on an empty stomach, staying upright for 30 minutes
6.Gemiddeld
A woman taking the combined pill should seek care urgently for which symptom?
ASlight nausea in the first few weeks
BLight spotting between periods early on
CA painful, swollen calf or sudden chest pain
DMild breast tenderness in the first month
7.Moeilijk
A patient on digoxin is started on amiodarone. What change should the nurse expect?
ANo interaction is expected
BDigoxin levels rise, so the digoxin dose is often reduced
CAmiodarone levels fall to zero
DDigoxin levels fall sharply, so the digoxin dose is doubled
8.Moeilijk
Gentamicine wordt gecombineerd met hooggedoseerd intraveneus furosemide. Welk risico is vooral verhoogd?
AGehoorschade
BHypoglykemie
CLeverfalen
DBloedingen
Antwoordenblad
1. A · They cause much less drowsiness
2. C · Use two identifiers, such as full name and date of birth
3. C · Non-opioids such as paracetamol and NSAIDs
4. A · Blood pressure of 160/105 mmHg
5. D · With plain water on an empty stomach, staying upright for 30 minutes
6. C · A painful, swollen calf or sudden chest pain
7. B · Digoxin levels rise, so the digoxin dose is often reduced
8. A · Gehoorschade
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