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Naam: ____________________ Datum: ____________
1.Makkelijk
What is the purpose of the Z-track technique for intramuscular injections?
ATo stop the drug leaking back into the subcutaneous tissue
BTo make the injection faster
CTo allow a larger volume to be given than with a standard injection
DTo avoid the need to clean the skin
2.Makkelijk
Which adverse effect of ethambutol requires vision checks?
AOptic neuritis, with blurred vision and colour blindness
BBleeding in the back of the eye
CPermanent dilation of the pupils
DCataracts that form within a few days of starting
3.Makkelijk
Which description fits insulin glargine?
AA long-acting basal insulin with no marked peak
BA rapid-acting insulin given with each meal
CAn oral tablet that makes the pancreas release insulin
DAn intermediate-acting cloudy insulin with a clear peak
4.Gemiddeld
During an oxytocin infusion, contractions become very frequent and the fetal heart rate shows late decelerations. What is the nurse's first action?
APosition the woman flat on her back
BGive a second oxytocin bolus
CStop the oxytocin infusion
DIncrease the infusion to finish labour quickly
5.Gemiddeld
Which antihypertensive class can raise blood glucose and uric acid levels, sometimes triggering gout?
AACE inhibitors
BAlpha-1 blockers
CThiazide diuretics
DAngiotensin II receptor blockers
6.Gemiddeld
Which statement about allopurinol is correct?
AIt works within an hour to relieve joint pain
BIt is taken only during an acute attack and stopped as soon as the pain settles
CIt lowers uric acid over time and does not relieve the pain of an acute attack
DIt increases uric acid production to flush out crystals
7.Moeilijk
Why do infants absorb more of a topical corticosteroid than adults?
ATheir skin contains no blood vessels
BThey have more skin area per kilogram and thinner skin
CTheir liver changes the cream into a much stronger form
DInfants do not absorb topical drugs at all
8.Moeilijk
Beta-lactam antibiotics show time-dependent killing. What does this mean for administration?
ADoses can be given at any time as long as the daily total is right
BA single very large daily dose works best
CDoses should be given on time at evenly spaced intervals
DDoses should be given only when the patient has a fever
Antwoordenblad
1. A · To stop the drug leaking back into the subcutaneous tissue
2. A · Optic neuritis, with blurred vision and colour blindness
3. A · A long-acting basal insulin with no marked peak
4. C · Stop the oxytocin infusion
5. C · Thiazide diuretics
6. C · It lowers uric acid over time and does not relieve the pain of an acute attack
7. B · They have more skin area per kilogram and thinner skin
8. C · Doses should be given on time at evenly spaced intervals
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