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Naam: ____________________ Datum: ____________
1.Makkelijk
Varenicline helps people stop smoking because it:
AIs a nicotinic partial agonist that reduces craving and reward
BMakes cigarettes taste bitter
CIs a form of nicotine absorbed slowly through the skin
DBlocks dopamine receptors in the brain completely
2.Makkelijk
Which drug can be used in beta blocker overdose because it raises heart rate through a non-adrenergic pathway?
ANaloxone
BFlumazenil
CInsulin
DGlucagon
3.Makkelijk
How does ezetimibe lower cholesterol?
AIt binds bile acids in the gut
BIt inhibits HMG-CoA reductase in the liver
CIt reduces the absorption of cholesterol from the intestine
DIt increases the excretion of cholesterol in the urine and bile
4.Gemiddeld
Methylergometrine (methylergonovine) is prescribed for postpartum bleeding. Which finding would make the nurse withhold it and check with the prescriber?
ATemperature of 37,2 °C (99 °F)
BHaemoglobin slightly below normal
CHeart rate of 88 per minute
DBlood pressure of 160/105 mmHg
5.Gemiddeld
Why is simvastatin traditionally taken in the evening?
AIt is short-acting, and cholesterol synthesis peaks at night
BIt must be taken with the largest meal of the day
CIt causes too much drowsiness to be taken in the morning
DIt is inactivated by sunlight during the day
6.Gemiddeld
A patient with diabetes is sweaty and shaky. Blood glucose is 3,0 mmol/L (54 mg/dL). The patient is awake and can swallow. What should the nurse do first?
AGive a large meal high in fat and protein to keep glucose up for longer
BGive the next scheduled dose of insulin
CGive 15–20 g of fast-acting carbohydrate, such as juice
DGive intramuscular glucagon at once
7.Moeilijk
Five days after starting clindamycin, a patient has frequent watery diarrhoea, abdominal cramps and a fever. What should the nurse suspect and do?
AAn allergy to clindamycin; give an antihistamine and continue the antibiotic
BFood poisoning; encourage a high-fibre diet and plenty of milk products
CA normal side effect; give loperamide and continue as usual
DC. difficile infection; send stool, use contact precautions, avoid antidiarrhoeals
8.Moeilijk
Een vrouw die de combinatiepil gebruikt, begint met carbamazepine voor epilepsie. Wat is de belangrijkste zorg?
ACarbamazepine-intoxicatie omdat de pil het metabolisme ervan sterk blokkeert
BGeen zorg, want de middelen hebben geen interactie
CErnstige hypoglykemie door de combinatie
DFalen van de anticonceptie omdat de hormonen sneller worden afgebroken
Antwoordenblad
1. A · Is a nicotinic partial agonist that reduces craving and reward
2. D · Glucagon
3. C · It reduces the absorption of cholesterol from the intestine
4. D · Blood pressure of 160/105 mmHg
5. A · It is short-acting, and cholesterol synthesis peaks at night
6. C · Give 15–20 g of fast-acting carbohydrate, such as juice
7. D · C. difficile infection; send stool, use contact precautions, avoid antidiarrhoeals
8. D · Falen van de anticonceptie omdat de hormonen sneller worden afgebroken
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