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

What is an anastomosis in bowel surgery?

1. AAn opening of the bowel onto the skin
2. BA drain placed beside the bowel
3. CA surgical join between two ends of bowel
4. DA tube placed in the bowel for feeding

What is dumping syndrome after gastric surgery?

1. ASlow emptying of the stomach causing food to stay for days
2. BRapid passage of food from the stomach into the small bowel
3. CLeakage of bile from the liver into the abdominal cavity
4. DReflux of bowel contents back into the oesophagus

Which is an example of a non-drug method of pain relief?

1. ARelaxation and distraction
2. BAn ibuprofen tablet with food
3. CA lidocaine patch
4. DA morphine injection into the thigh

Which medicine commonly delays wound healing?

1. AVitamin C supplements
2. BLong-term corticosteroids
3. CSaline eye drops
4. DParacetamol

Why should metoclopramide not be used for nausea in mechanical bowel obstruction?

1. AIt blocks the effect of all opioids
2. BIt makes the bowel stop moving completely
3. CIt increases gut movement against the blockage
4. DIt always causes severe diarrhoea

Which nursing care helps a new skin graft take?

1. ARemoving the dressing every hour to look at it
2. BKeeping the area still and avoiding shearing forces
3. CMassaging the graft firmly several times a day
4. DEncouraging the patient to exercise the area straight away

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

After surgery, a patient says they have "no pain" but grimaces, breathes shallowly and refuses to move or cough. What should the nurse do?

1. AAccept the statement and record a pain score of 0
2. BTell the patient firmly that they must stop hiding their pain from staff
3. CExplore their beliefs and explain how analgesia aids recovery
4. DInsist they walk without any analgesia