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Naam: ____________________ Datum: ____________
1.Makkelijk
Welk middel heft het effect van heparine op?
AVitamine K
BProtaminesulfaat
CFlumazenil
DNaloxon
2.Makkelijk
Which adverse effect is most common with colchicine?
AWeight gain and swelling
BDiarrhoea, nausea and vomiting
CConstipation and dry mouth
DDrowsiness and slow breathing
3.Makkelijk
With patient-controlled analgesia (PCA), who should press the button to give a dose?
AA family member when the patient is asleep
BAny visitor who thinks the patient is in pain
CThe nursing assistant at set times
DOnly the patient
4.Gemiddeld
Why is a progestogen added to oestrogen in hormone replacement therapy for a woman who still has her uterus?
ATo lower the risk of blood clots to zero
BTo protect against endometrial hyperplasia and cancer
CTo reduce hot flushes much more than oestrogen alone can
DTo prevent breast cancer completely
5.Gemiddeld
A transplant patient takes tacrolimus. Which monitoring is most important?
ASerum amylase
BBlood drug levels and kidney function
CPeak expiratory flow
DThyroid function and bone density
6.Gemiddeld
What should the nurse teach a patient about taking levothyroxine?
ATake it only on days when feeling tired
BTake it on an empty stomach, 30–60 minutes before breakfast
CTake it with milk at dinner, as calcium protects the stomach lining
DTake it together with the iron tablet to save time
7.Moeilijk
A man taking spironolactone for heart failure develops painful breast enlargement. Which change may be considered?
ASwitching to potassium chloride tablets
BAdding testosterone injections
CSwitching to eplerenone, which has fewer anti-androgen effects
DDoubling the spironolactone dose to overcome the side effect
8.Moeilijk
A patient on long-term prednisolone has been vomiting for two days and could not take her tablets. She is now hypotensive and confused, with low sodium and high potassium. What is the most urgent treatment?
AOral prednisolone with a glass of water
BIV insulin with glucose only
CIV furosemide
DIV hydrocortisone and IV fluids
Antwoordenblad
1. B · Protaminesulfaat
2. B · Diarrhoea, nausea and vomiting
3. D · Only the patient
4. B · To protect against endometrial hyperplasia and cancer
5. B · Blood drug levels and kidney function
6. B · Take it on an empty stomach, 30–60 minutes before breakfast
7. C · Switching to eplerenone, which has fewer anti-androgen effects
8. D · IV hydrocortisone and IV fluids
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