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Naam: ____________________ Datum: ____________
1.Makkelijk
Which vasopressor is usually first-line for septic shock that persists after fluids?
AIsoprenaline (isoproterenol)
BGlyceryl trinitrate
CAdenosine
DNoradrenaline (norepinephrine)
2.Makkelijk
Welk plasma-eiwit bindt de meeste zure geneesmiddelen, zoals warfarine?
AInsuline
BHemoglobine
CAlbumine
DFibrinogeen
3.Makkelijk
Welk middel heft het effect van heparine op?
AProtaminesulfaat
BNaloxon
CFlumazenil
DVitamine K
4.Gemiddeld
How should a patient store sublingual glyceryl trinitrate (nitroglycerin) tablets?
AIn a plastic weekly pill box with other tablets
BIn the original dark glass bottle, away from heat, light and moisture
CIn the fridge in a damp, open container to keep them fresh and cool
DLoose in a shirt pocket close to the body for quick access
5.Gemiddeld
A patient receives lactulose for hepatic encephalopathy. Which finding shows that it is working?
ATen watery stools a day and a low serum potassium
BHigher blood ammonia with improved appetite
CNo bowel movement for three days, with less confusion than before
DBetter alertness and orientation, with two to three soft stools a day
6.Gemiddeld
An IV site is cool, swollen and pale, and the infusion is running slowly. What should the nurse do?
AApply a tight bandage over the site
BFlush the cannula forcefully with saline
CIncrease the infusion rate to push through and clear the blockage
DStop the infusion, remove the cannula and elevate the limb
7.Moeilijk
During an alteplase infusion for acute ischaemic stroke, the patient develops a sudden severe headache and her level of consciousness falls. What is the nurse's first action?
AGive a bolus of heparin to prevent a new clot
BGive paracetamol for the headache and continue the infusion
CSlow the infusion to half the rate and recheck in 30 minutes
DStop the alteplase infusion and notify the provider urgently
8.Moeilijk
Een boer die is blootgesteld aan een organofosfaatbestrijdingsmiddel heeft kleine pupillen, sterke speekselvloed, zweten, bronchiale secreties en bradycardie. Wat is het mechanisme?
ABlokkade van GABA-A-receptoren
BRemming van acetylcholinesterase
CBlokkade van muscarinereceptoren
DOvermatige afgifte van noradrenaline
Antwoordenblad
1. D · Noradrenaline (norepinephrine)
2. C · Albumine
3. A · Protaminesulfaat
4. B · In the original dark glass bottle, away from heat, light and moisture
5. D · Better alertness and orientation, with two to three soft stools a day
6. D · Stop the infusion, remove the cannula and elevate the limb
7. D · Stop the alteplase infusion and notify the provider urgently
8. B · Remming van acetylcholinesterase
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