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

Cairan apa yang biasanya digunakan untuk resusitasi awal luka bakar pada orang dewasa?

1. AAir steril untuk injeksi, diberikan IV
2. BLarutan glukosa 50% IV
3. CHartmann (Ringer laktat)
4. DMinuman soda kola oral

Ciri mana yang khas untuk luka bakar derajat penuh (full-thickness)?

1. AKulit yang memucat saat ditekan dan sembuh dalam beberapa hari
2. BKulit lembap, merah muda dengan lepuh besar yang nyeri
3. CKulit seperti kulit samak, putih atau cokelat, dan tidak nyeri
4. DKulit merah dan nyeri tanpa lepuh, seperti terbakar matahari

How does the pain of acute appendicitis typically progress?

1. AIt starts around the umbilicus, then moves to the right lower abdomen
2. BIt stays in the upper abdomen and eases after meals
3. CIt starts in the left lower abdomen, then spreads to the back
4. DIt starts in the right shoulder, then moves to the chest

Which advice helps a patient with haemorrhoids?

1. AEat less fibre so that stools are smaller
2. BTake a codeine-based painkiller every day
3. CSit on the toilet for long periods to empty fully
4. DEat more fibre, drink enough fluid and avoid straining

Which finding suggests a deep tissue pressure injury?

1. AA small scratch on the skin with a little fresh red blood
2. BIntact skin that is purple or maroon over a bony area
3. CDry, flaky skin on both shins
4. DPale pink skin that blanches quickly when pressed

How should pancreatic enzyme replacement capsules usually be taken?

1. AOne hour after meals, on an empty stomach
2. BWith every meal and snack
3. COnce a day at bedtime
4. DOnly on days with abdominal pain

A patient with active cancer on chemotherapy develops new swelling and pain in one calf. Why must this be reported promptly?

1. AThe swelling shows the cancer has gone
2. BIt is only a muscle strain from walking
3. CCalf swelling is a normal effect of chemotherapy
4. DCancer and its treatment greatly increase clot risk

In week 5 of radiotherapy, the skin in the treatment field is broken, moist and painful. What should the nurse do?

1. AApply adhesive tape directly over the area to protect it from clothing
2. BReport it, keep it clean and use a non-adherent dressing
3. CUse a heat pad to speed healing
4. DScrub the area with soap to prevent infection