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Naam: ____________________ Datum: ____________
1.Makkelijk
Why do nurses wear chemotherapy-tested gloves and gowns when handling cytotoxic drugs?
ATo keep the drugs warm during the infusion
BTo protect the drug from light
CBecause cytotoxic drugs are radioactive and give off radiation
DTo avoid exposure to drugs that may cause cancer or birth defects
2.Makkelijk
Lithium is used mainly to treat which condition?
AGeneralised anxiety disorder
BAttention deficit hyperactivity disorder
CBipolar disorder
DSchizophrenia with no mood symptoms
3.Makkelijk
Why is anti-D immunoglobulin given to an Rh-negative mother?
ATo make her own blood group Rh-positive before the next pregnancy
BTo speed up labour
CTo treat anaemia in the newborn
DTo stop her forming anti-D antibodies against Rh-positive fetal cells
4.Gemiddeld
A patient starting niacin (nicotinic acid) complains of flushing and warmth after doses. Which advice may reduce this?
ATake aspirin 30 minutes before the niacin, if the prescriber agrees
BDouble the dose to build tolerance faster
CTake it on an empty stomach in a hot bath
DTake the niacin with a hot drink so that it dissolves and acts faster
5.Gemiddeld
An adult patient is due to receive digoxin. The apical pulse, counted for a full minute, is 52 beats per minute. What should the nurse do?
AGive half the dose and document the pulse
BWithhold the dose and notify the prescriber
CGive the dose and recheck the pulse in one hour
DGive the dose with food to slow absorption
6.Gemiddeld
After instilling eye drops, why should the patient press gently on the inner corner of the eye for a minute or two?
ATo stop the eye from producing tears for about an hour
BTo spread the drop evenly over the eyelid
CTo reduce drainage into the nose and absorption into blood
DTo make the pupil dilate faster
7.Moeilijk
A patient on methadone is also prescribed diazepam for anxiety. What is the main safety concern?
ASevere hypertension from the combination
BDiazepam blocks the effect of methadone completely
CAdditive sedation and respiratory depression
DMethadone causes diazepam to be excreted very quickly
8.Moeilijk
In adult cardiac arrest with shock-refractory ventricular fibrillation, which antiarrhythmic is commonly given?
AAdenosine
BDigoxin
CAmiodarone
DVerapamil
Antwoordenblad
1. D · To avoid exposure to drugs that may cause cancer or birth defects
2. C · Bipolar disorder
3. D · To stop her forming anti-D antibodies against Rh-positive fetal cells
4. A · Take aspirin 30 minutes before the niacin, if the prescriber agrees
5. B · Withhold the dose and notify the prescriber
6. C · To reduce drainage into the nose and absorption into blood
7. C · Additive sedation and respiratory depression
8. C · Amiodarone
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