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

What is the main serious risk of paracetamol (acetaminophen) overdose?

1. ARespiratory depression
2. BStomach bleeding
3. CLiver damage
4. DHearing loss

Why are pressure areas padded when a patient is positioned for surgery?

1. ATo prevent pressure injury and nerve damage
2. BTo keep the patient from moving during the operation
3. CTo make the operating table look tidy
4. DTo warm the patient during the procedure

What should patients usually be told about hair loss from chemotherapy?

1. AIt is usually temporary, and hair grows back afterwards
2. BIt means the treatment is not working
3. CIt happens with every type of cancer treatment, including surgery
4. DIt is always permanent with every drug

Why is it important to prevent perioperative hypothermia?

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

Which early symptoms suggest local anaesthetic systemic toxicity?

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

A nasogastric feeding tube appears blocked. What is usually the first step?

1. APush the guidewire back in to clear it
2. BUse a small 5 mL syringe with firm pressure
3. CFlush gently with warm water in a 50 mL enteral syringe
4. DCut the end of the tube to release the blockage inside it

A patient with lung cancer becomes hypotensive and breathless, with distended neck veins and quiet heart sounds. What should the nurse suspect?

1. AHypercalcaemia of malignancy from bone metastases
2. BCardiac tamponade from a pericardial effusion
3. CSuperior vena cava obstruction from the tumour
4. DA side effect of anti-sickness drugs

A patient with cirrhosis and ascites has a falling urine output and a rising creatinine. They have not received nephrotoxic drugs and are not dehydrated. Which complication is likely?

1. APolycystic kidney disease
2. BNephrotic syndrome
3. CUrinary tract infection
4. DHepatorenal syndrome