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

What is the main aim of palliative care?

1. AImproving quality of life for people with serious illness
2. BOnly providing care in the last hour of life
3. CCuring the disease at any cost, whatever the side effects
4. DReplacing all other medical treatment

Mengapa suhu rektal dan supositoria dihindari pada pasien neutropenia?

1. AMengganggu penyerapan kemoterapi
2. BDapat merusak mukosa dan membiarkan bakteri masuk ke darah
3. CMembuat jumlah sel darah putih pasien turun lebih jauh
4. DSelalu memberikan pembacaan suhu yang terlalu rendah

What is dumping syndrome after gastric surgery?

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

A patient on warfarin is booked for elective surgery with a high bleeding risk. What is usual practice?

1. ATake the usual dose on the morning of surgery
2. BStop it about 5 days before and check the INR
3. CSwap to aspirin on the morning of surgery
4. DDouble the dose for a week so the blood is ready for surgery

Which advice is appropriate for a patient with a very low platelet count?

1. AUse a razor blade for shaving every day
2. BTake aspirin regularly for headaches
3. CUse a soft toothbrush and an electric razor
4. DFloss hard every day to prevent gum disease

Tindakan mana yang membantu mencegah sindrom lisis tumor pada pasien berisiko tinggi?

1. APembatasan cairan dengan tablet kalium
2. BMenghentikan semua cairan IV dan oral selama kemoterapi
3. CHidrasi IV dengan alopurinol atau rasburikase
4. DSuplemen kalsium dan fosfat setiap hari

Beberapa jam setelah kateter epidural dilepas, seorang pasien yang menggunakan antikoagulan mengalami nyeri punggung dan kelemahan tungkai yang memburuk. Apa yang harus dicurigai?

1. AUlkus tekan sakrum yang menyebabkan nyeri tungkai alih
2. BHilangnya efek blok epidural secara normal sepanjang hari
3. CHematoma epidural, yang membutuhkan tinjauan darurat dan MRI
4. DInfeksi saluran kemih yang menyebabkan nyeri punggung

During bowel preparation, an older patient becomes dizzy and confused. Blood tests show sodium 127 mmol/L. What should the nurse do?

1. ARecord it and continue as planned, as this is expected
2. BGive the rest of the preparation more quickly
3. CStop the preparation and escalate to the medical team
4. DEncourage plain water only, as much as possible