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

What is the main purpose of marking the surgical site before an operation?

1. ATo prevent surgery on the wrong side or site
2. BTo tell the porter which theatre to go to
3. CTo show where the skin should be shaved
4. DTo record the patient's allergy status

On a numerical rating scale for pain, what do 0 and 10 usually mean?

1. A0 is the worst pain and 10 is no pain at all
2. BThe numbers show how many hours the pain has lasted
3. C0 is mild pain and 10 is moderate pain
4. D0 is no pain and 10 is the worst pain imaginable

What is referred pain?

1. APain felt at a site away from the organ causing it
2. BPain that is passed on from one doctor to another
3. CPain that only lasts for a few seconds
4. DPain that a patient makes up

Why is it important to prevent perioperative hypothermia?

1. AIt lowers the risk of pain after surgery
2. BIt reduces the amount of anaesthetic needed, which is unsafe
3. CIt increases bleeding, wound infection and heart complications
4. DIt makes patients wake up from the anaesthetic too quickly

Which early symptoms suggest local anaesthetic systemic toxicity?

1. AIncreased hunger and thirst over several hours, with a dry mouth
2. BTingling around the mouth, a metallic taste and tinnitus
3. CMild itching of the feet the next day
4. DA red rash only at the injection site, with no other symptoms

Which statement about corticosteroids in inflammatory bowel disease is correct?

1. AThey are used to induce remission, not for maintenance
2. BThey cure the disease after one course
3. CThey are given only as a one-off injection
4. DThey are the best long-term maintenance treatment

Seorang pasien kanker prostat yang diketahui melaporkan nyeri punggung baru yang memburuk dan kelemahan tungkai. Tindakan terpenting apa?

1. AMenenangkan pasien bahwa nyeri punggung umum dan tidak serius
2. BKemungkinan kompresi medula: eskalasi, steroid sesuai resep, MRI segera
3. CMenyarankan istirahat di rumah dengan parasetamol dan tinjauan pada kunjungan klinik berikutnya
4. DMengatur fisioterapi rutin untuk nyeri punggung dalam bulan depan

During bowel preparation, an older patient becomes dizzy and confused. Blood tests show sodium 127 mmol/L. What should the nurse do?

1. AStop the preparation and escalate to the medical team
2. BGive the rest of the preparation more quickly
3. CRecord it and continue as planned, as this is expected
4. DEncourage plain water only, as much as possible