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

Mengapa selang nasogastrik sering dipasang pada obstruksi usus?

1. AUntuk mengukur tekanan di dalam usus
2. BUntuk memberikan makanan tinggi serat langsung melewati sumbatan
3. CUntuk dekompresi lambung dan mengurangi muntah
4. DUntuk memberikan pencahar guna membersihkan obstruksi

Which two sites are most common for pressure ulcers in patients lying in bed?

1. AThe palms and the forehead
2. BThe sacrum and the heels
3. CThe thighs and the upper arms
4. DThe forearms and the knees

Which bedside test is commonly used to check that a nasogastric tube is in the stomach before each use?

1. APutting the tube end in a cup of water
2. BTesting aspirate with pH paper
3. CAsking the patient whether it feels comfortable
4. DListening for a "whoosh" of injected air

When is cold therapy most useful for pain?

1. ASoon after an acute soft tissue injury, to reduce swelling
2. BFor long-term muscle stiffness, applied continuously for several hours
3. COver numb areas where sensation is lost
4. DDirectly on skin with poor circulation

Which advice helps prevent dumping syndrome after gastrectomy?

1. ASmall, frequent meals low in simple sugars, with fluids between meals
2. BSit upright and walk briskly straight after every meal
3. CThree large meals a day with plenty of sweet drinks with each meal
4. DA high-sugar diet with fruit juice to keep energy levels up

After a percutaneous liver biopsy, how is the patient usually positioned at first?

1. ASitting upright, with the legs over the edge of the bed
2. BOn the left side, to drain the liver
3. CProne, with the head lower than the feet
4. DOn the right side, to press on the puncture site

Strategi cairan mana yang umumnya direkomendasikan pada jam-jam pertama pankreatitis akut?

1. AKristaloid seimbang terarah-tujuan, dipandu oleh respons
2. BAlbumin IV saja sebagai pengganti kristaloid apa pun
3. CTanpa cairan IV sama sekali, hanya seteguk kecil air oral
4. DVolume sangat besar, apa pun respons pasien

Sepuluh hari setelah kemoterapi, seorang pasien bersuhu 37,6 °C tetapi merasa menggigil dan tidak sehat, dengan nadi 112/menit dan TD 95/60 mmHg. Tindakan yang benar apa?

1. ATangani sebagai kemungkinan sepsis neutropenik: antibiotik IV dalam satu jam
2. BMemberikan parasetamol dan memeriksa suhu lagi dalam empat jam
3. CMenunggu jumlah neutrofil sebelum memutuskan pengobatan apa pun
4. DMenenangkan pasien, karena suhu masih di bawah 38 °C