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

A patient receiving external beam radiotherapy asks whether they are radioactive. What is correct?

1. ANo, they are not radioactive and can be with family
2. BOnly their clothes are radioactive afterwards
3. CYes, for one month after each session
4. DYes, so they must avoid all contact with children and pregnant women

Pemeriksaan mana yang biasanya digunakan untuk menemukan dan mengobati sumber perdarahan saluran cerna atas?

1. AKolonoskopi usus
2. BRontgen polos abdomen
3. CPemeriksaan menelan barium
4. DEndoskopi saluran cerna atas

Siapa yang boleh menekan tombol pompa analgesia terkontrol pasien (PCA)?

1. APerawat, pada awal setiap shift
2. BKerabat, saat pasien tidur
3. CHanya pasien
4. DPengunjung mana pun yang diminta pasien

Why are urinary catheters removed as early as possible after surgery?

1. ABecause catheters always cause kidney stones
2. BBecause patients cannot drink normally while a catheter is in place
3. CTo reduce the risk of catheter-associated infection
4. DBecause the catheter stops the bowel working

Mengapa pasien sirosis berisiko lebih tinggi mengalami perdarahan?

1. AHati yang berjaringan parut melepaskan zat antikoagulan seperti heparin ke dalam darah
2. BFaktor pembekuan lebih sedikit, trombosit rendah, dan varises akibat hipertensi portal
3. CSirosis menaikkan jumlah trombosit, yang membuat trombosit lebih lemah
4. DTekanan darah arteri tinggi pada sirosis membuat pembuluh pecah

Before an anti-TNF biologic such as infliximab is started for Crohn's disease, which screening is essential?

1. AA bone density scan
2. BScreening for tuberculosis
3. CA test for coeliac disease
4. DA test of colour vision

A competent adult who is a Jehovah's Witness refuses blood transfusion before major surgery. What should the nurse do?

1. ARespect the decision, document it and inform the team
2. BCancel the surgery without discussing it
3. CAsk the family to override the decision
4. DPlan to transfuse secretly during the operation if it becomes needed

A patient with a toe ulcer says the leg pain is worse at night and eases when they hang the leg over the side of the bed. What does this suggest?

1. ALymphoedema
2. BArterial insufficiency
3. CVenous insufficiency
4. DNeuropathic itching