Lembar kerja Medikal-bedah: saluran cerna, perioperatif & onkologi dengan jawaban

What is a Hartmann's procedure?

1. AJoining the stomach directly to the small bowel
2. BRemoval of the gallbladder through several small abdominal incisions
3. CRemoval of part of the colon with an end colostomy and rectal stump
4. DPlacing a stent in the bile duct

Siapa yang boleh menekan tombol pompa analgesia terkontrol pasien (PCA)?

1. AKerabat, saat pasien tidur
2. BPengunjung mana pun yang diminta pasien
3. CPerawat, pada awal setiap shift
4. DHanya pasien

Which tool helps assess pain in a person with advanced dementia who cannot report it?

1. AA numerical rating scale from 0 to 10, read out slowly
2. BThe Glasgow Coma Scale, scored every hour
3. CAn observational scale such as PAINAD or Abbey
4. DThe MUST nutrition score

Which is a usual benefit of laparoscopic over open abdominal surgery?

1. ALarger wounds that heal faster
2. BNo need for a general anaesthetic ever
3. CNo risk of any complications at all
4. DLess pain and a shorter hospital stay

How is the height of an epidural sensory block usually checked?

1. ATapping the knee with a reflex hammer and recording the score
2. BChecking the colour of the patient's urine
3. CMeasuring the patient's blood glucose level
4. DTesting sensation to cold with ice or a cold spray

A patient has taken oral prednisolone daily for many months. Why is this important before surgery?

1. AThey may need extra steroid cover to prevent an adrenal crisis
2. BSteroids prevent all wound infections after surgery
3. CSteroids make the anaesthetic drugs last much longer
4. DSteroids must always be stopped a full week before any type of surgery

Which history should most alert the nurse to a possible latex allergy before surgery?

1. AItching with bananas, avocado and kiwi, and many operations
2. BFeeling sick after eating shellfish once
3. CA rash after taking amoxicillin as a child, with a family history of asthma
4. DHay fever every spring since childhood

Seorang pasien yang menggunakan opioid jangka panjang untuk nyeri kronis dirawat untuk operasi. Pernyataan mana yang benar?

1. AOpioid biasa dilanjutkan, ditambah analgesia ekstra, karena toleransi
2. BMereka membutuhkan dosis opioid pascaoperasi yang lebih rendah daripada pasien naif opioid
3. CMereka hanya boleh menerima parasetamol setelah operasi selesai
4. DSemua opioid harus dihentikan saat masuk untuk mencegah adiksi