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

Pertolongan pertama mana yang direkomendasikan untuk luka bakar termal?

1. AMentega atau minyak dioleskan pada luka bakar
2. BMemecahkan lepuh segera
3. CAir mengalir dingin selama sekitar 20 menit
4. DEs ditempelkan langsung pada luka bakar selama 20 menit

Why should rings, watches and tight clothing be removed early after a burn to the arm?

1. ASwelling may follow, and they could cut off the circulation
2. BThey make the burn look worse in photographs
3. CMetal items always cause infection in burns
4. DThey interfere with the rule of nines calculation of burn size

What is the MUST tool used for?

1. AScreening adults for malnutrition risk
2. BScoring the severity of a burn injury
3. CAssessing the risk of falls
4. DMeasuring pain in confused patients

A patient with obstructive sleep apnoea is admitted for surgery. Which instruction is most appropriate?

1. AAvoid sleeping at all on the night after surgery
2. BLie flat on their back for the first night
3. CBring their CPAP machine to use after surgery
4. DStop all pain relief for the first three days

A patient on enteral feeding develops diarrhoea. What should the nurse review first?

1. AThe colour of the feeding bag label
2. BThe medicine chart, including laxatives and antibiotics
3. CThe patient's mobility aids and walking distance
4. DThe patient's eye drops and skin creams

Which finding means a patient is usually ready to leave recovery for the ward?

1. APain score 9/10 and vomiting repeatedly
2. BSystolic BP falling steadily over the last hour, with a rising pulse rate
3. CAwake, with a clear airway, stable observations and controlled pain
4. DStill drowsy and needing a jaw thrust to breathe

On day 3 after laparoscopic cholecystectomy, a patient has abdominal pain, fever and mild jaundice, and green fluid is draining from the drain. What is most likely?

1. AA wound haematoma
2. BNormal post-operative drainage
3. CUrinary retention
4. DA bile leak

After two days of large volumes of IV 5% glucose, a postoperative patient becomes confused with a headache. Sodium is 124 mmol/L. What is the likely cause?

1. ANormal confusion after any anaesthetic
2. BHypernatraemia from too much salt
3. CHyponatraemia from hypotonic fluids
4. DHypoglycaemia from the glucose