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

Seperti apa stoma yang sehat?

1. APucat dan dingin
2. BUngu atau kusam dan kering
3. CLembap dan merah atau merah muda
4. DKering dan hitam

What is a hiatus hernia?

1. AA bulge of bowel through an old surgical scar
2. BBowel bulging through a weak point in the muscle at the umbilicus
3. CPart of the bowel pushing through the groin into the scrotum
4. DPart of the stomach pushing up through the diaphragm

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

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

Which advice helps a patient with haemorrhoids?

1. ASit on the toilet for long periods to empty fully
2. BEat more fibre, drink enough fluid and avoid straining
3. CEat less fibre so that stools are smaller
4. DTake a codeine-based painkiller every day

Which nursing intervention best reduces preoperative anxiety?

1. AAvoiding talking about the operation at all
2. BTelling the patient that there is nothing to worry about
3. CExplaining what will happen and answering questions
4. DKeeping family members away until after surgery

Which advice helps a person with diabetes prevent foot ulcers?

1. ASoak the feet in very hot water every evening
2. BCut corns off at home with a sharp blade
3. CCheck the feet every day and never walk barefoot
4. DWear tight shoes to support the ankles

Empat pasien berada di bangsal bedah. Pasien mana yang harus dikaji pertama oleh perawat?

1. AEmpat jam setelah operasi usus: nadi 118/menit, TD 90/55 mmHg
2. BIleostomi stabil: meminta bantuan mengganti kantong
3. CNeutropenik: suhu normal satu jam lalu, merasa baik
4. DHari ke-3 setelah operasi: meminta pencahar untuk konstipasi

On day 2 of nasogastric feeding, a severely malnourished patient becomes weak and breathless with ankle swelling. Phosphate is 0,4 mmol/L. What is most likely?

1. ARefeeding syndrome
2. BNormal adjustment to the new feed
3. CToo little calorie intake
4. DAn allergy to the feed formula