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

Why is nail varnish or a gel nail often removed from at least one finger before surgery?

1. ABecause the varnish can make the anaesthetic gas less effective
2. BBecause varnish raises the patient's blood pressure
3. CSo pulse oximetry readings and nail colour can be assessed accurately
4. DBecause it is a checklist rule with no clinical reason

In widely used guidelines, which core temperature defines perioperative hypothermia?

1. ABelow 32,0 °C
2. BBelow 36,0 °C
3. CBelow 37,5 °C
4. DBelow 38,0 °C

Why is a feeding tube flushed with water before and after giving medicines?

1. ATo check that the patient is not thirsty
2. BTo warm the tube so it is more comfortable
3. CTo keep it clear and stop drugs mixing with feed
4. DTo clean the stomach before the next meal

Which is a recognised risk of long-term proton pump inhibitor use?

1. AHypomagnesaemia
2. BHypernatraemia
3. CHyperkalaemia
4. DHypercalcaemia

A patient had an upper GI endoscopy with a local anaesthetic throat spray. What must the nurse check before giving a drink?

1. AThat swallowing and the gag reflex have returned
2. BThat the patient has passed urine since the procedure
3. CThat the patient's blood glucose is above normal
4. DThat bowel sounds are present in all four quadrants

Which drug class is used to reduce the risk of a first variceal bleed in cirrhosis?

1. ANon-selective beta-blockers
2. BThiazide diuretics
3. CCalcium supplements
4. DProton pump inhibitors

Seorang pasien obstruksi usus mengalami nyeri hebat konstan (tidak lagi kolik), demam, denyut jantung 120/menit, dan abdomen kaku dan nyeri tekan. Apa yang ditunjukkan hal ini?

1. AStrangulasi atau perforasi yang membutuhkan tinjauan bedah segera
2. BKemajuan normal yang hanya membutuhkan analgesia sederhana teratur
3. CObstruksi mereda karena usus mulai bergerak
4. DKonstipasi yang harus diobati dengan pencahar stimulan

A patient taking IV antibiotics has three unexplained loose stools in 24 hours. What should the nurse do first?

1. AGive loperamide after each loose stool and continue as usual
2. BIsolate the patient and send a stool sample for testing
3. CWait two days to see if the diarrhoea settles
4. DMove the patient to a bay with other patients to watch them closely