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Naam: ____________________ Datum: ____________
1.Makkelijk
Varenicline helps people stop smoking because it:
AIs a form of nicotine absorbed slowly through the skin
BBlocks dopamine receptors in the brain completely
CMakes cigarettes taste bitter
DIs a nicotinic partial agonist that reduces craving and reward
2.Makkelijk
With patient-controlled analgesia (PCA), who should press the button to give a dose?
AThe nursing assistant at set times
BA family member when the patient is asleep
COnly the patient
DAny visitor who thinks the patient is in pain
3.Makkelijk
Epoetin alfa, often used in chronic kidney disease, stimulates the production of:
APlatelets
BClotting factors
CRed blood cells
DWhite blood cells
4.Gemiddeld
A patient is due the first dose of IV cefuroxime. Which question is most important before giving it?
A"Have you ever had a reaction to penicillin or another antibiotic?"
B"Have you taken paracetamol today?"
C"Do you prefer the drip in your left arm or in your right arm?"
D"Have you eaten anything in the last two hours?"
5.Gemiddeld
A patient has oral mucositis after chemotherapy. Which advice is appropriate?
AUse a soft toothbrush and rinse with saline or a bland mouthwash
BBrush hard with a firm toothbrush to remove debris
CUse an alcohol-based mouthwash several times a day to kill germs
DEat spicy and acidic foods to stimulate healing
6.Gemiddeld
A patient receives lactulose for hepatic encephalopathy. Which finding shows that it is working?
AHigher blood ammonia with improved appetite
BTen watery stools a day and a low serum potassium
CBetter alertness and orientation, with two to three soft stools a day
DNo bowel movement for three days, with less confusion than before
7.Moeilijk
A man taking spironolactone for heart failure develops painful breast enlargement. Which change may be considered?
ADoubling the spironolactone dose to overcome the side effect
BAdding testosterone injections
CSwitching to eplerenone, which has fewer anti-androgen effects
DSwitching to potassium chloride tablets
8.Moeilijk
A patient with heart failure on furosemide is also given metolazone, a thiazide-like diuretic. Which risk increases most?
ASevere hypokalaemia, hyponatraemia and dehydration
BHyperkalaemia and fluid overload
CSevere hypertension, tachycardia and fluid retention
DHypoglycaemia and weight gain
Antwoordenblad
1. D · Is a nicotinic partial agonist that reduces craving and reward
2. C · Only the patient
3. C · Red blood cells
4. A · "Have you ever had a reaction to penicillin or another antibiotic?"
5. A · Use a soft toothbrush and rinse with saline or a bland mouthwash
6. C · Better alertness and orientation, with two to three soft stools a day
7. C · Switching to eplerenone, which has fewer anti-androgen effects
8. A · Severe hypokalaemia, hyponatraemia and dehydration
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