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

What is a spinal anaesthetic?

1. AA general anaesthetic gas breathed through a mask
2. BLocal anaesthetic cream rubbed on the skin
3. CA sedative tablet taken the night before
4. DLocal anaesthetic injected into the CSF in the lower back

Which statement about hepatitis C is correct?

1. AIt always clears by itself within two weeks
2. BIt can be treated only with a liver transplant
3. CIt is spread mainly through blood, and there is no vaccine
4. DIt is spread mainly by food, and a vaccine is given to babies

How should a patient be positioned during enteral tube feeding?

1. AWith the head lower than the feet
2. BLying on the stomach with the head turned to one side
3. CLying completely flat on the back with one pillow
4. DWith the head of the bed raised to at least 30–45°

Which is a recognised cause of anaphylaxis during surgery?

1. ASterile normal saline
2. BA warmed blanket
3. CChlorhexidine skin preparation
4. DThe patient's own blood from cell salvage

Which task for a stable patient with an established ileostomy can usually be delegated to a trained healthcare assistant (nursing assistant)?

1. AEmptying the pouch and measuring the output
2. BAssessing the stoma for signs of necrosis
3. CDeciding whether IV fluids are needed
4. DTeaching the patient about high-output risks

Which long-term effect must be monitored in patients receiving anthracyclines such as doxorubicin?

1. APermanent high blood glucose
2. BExcess growth of body hair
3. CLoss of the sense of smell
4. DDamage to the heart muscle

Seorang pasien dengan ileostomi tidak memiliki keluaran selama 6 jam, dengan nyeri kram, distensi, mual, dan stoma bengkak. Apa yang harus dicurigai perawat?

1. ADehidrasi akibat keluaran ileostomi yang sangat tinggi
2. BPeriode tenang normal untuk ileostomi baru
3. CRuam kulit ringan di sekitar stoma
4. DSumbatan stoma, sering akibat makanan, yang perlu ditinjau

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. BA rash after taking amoxicillin as a child, with a family history of asthma
3. CHay fever every spring since childhood
4. DFeeling sick after eating shellfish once