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

Why is a feeding tube flushed with water before and after giving medicines?

1. ATo check that the patient is not thirsty
2. BTo warm the tube so it is more comfortable
3. CTo keep it clear and stop drugs mixing with feed
4. DTo clean the stomach before the next meal

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

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

What is referred pain?

1. APain that a patient makes up
2. BPain that only lasts for a few seconds
3. CPain that is passed on from one doctor to another
4. DPain felt at a site away from the organ causing it

Which infection control measure is correct for a patient with C. difficile diarrhoea?

1. AA shared bay, as long as alcohol gel is used after every contact
2. BA face mask for the patient and visitors only
3. CNo special measures once antibiotics have started
4. DA single room with its own toilet, and soap-and-water handwashing

Why is pethidine (meperidine) generally avoided for regular pain relief?

1. AA metabolite can build up and cause seizures
2. BIt always causes severe diarrhoea
3. CIt can only be given by mouth
4. DIt has no pain-relieving effect at all in adults

Why are antimotility drugs such as loperamide avoided in C. difficile infection?

1. AThey make the stool sample test positive falsely
2. BThey cause serious liver failure in most patients who take them
3. CThey kill the normal bowel bacteria
4. DThey may keep toxin in the bowel and risk toxic megacolon

A dying patient has noisy, rattling breathing. The patient seems unaware, but the family is distressed. What is the best nursing approach?

1. AReposition, explain the cause and give prescribed drugs if needed
2. BPerform deep suction every hour
3. CAsk the family to leave the room
4. DGive large volumes of IV fluid to loosen and thin the secretions

A patient who takes NSAIDs suddenly develops severe epigastric pain, a rigid abdomen and shoulder-tip pain. Which finding would most support the likely diagnosis?

1. AA raised serum lipase three times the upper limit
2. BFree air under the diaphragm on an erect chest X-ray
3. CTall, peaked T waves on a 12-lead ECG
4. DFluid levels in the bladder on an ultrasound scan