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

What is a Hartmann's procedure?

1. AJoining the stomach directly to the small bowel
2. BRemoval of the gallbladder through several small abdominal incisions
3. CPlacing a stent in the bile duct
4. DRemoval of part of the colon with an end colostomy and rectal stump

Cairan apa yang biasanya digunakan untuk resusitasi awal luka bakar pada orang dewasa?

1. ALarutan glukosa 50% IV
2. BMinuman soda kola oral
3. CAir steril untuk injeksi, diberikan IV
4. DHartmann (Ringer laktat)

What is metastasis?

1. AShrinking of a tumour after treatment
2. BSpread of cancer cells to a distant part of the body
3. CHealing of tissue after a biopsy
4. DThe first appearance of a tumour in a single organ of the body

After laparoscopic cholecystectomy, a patient has pain in the right shoulder. What is the most likely cause?

1. AA heart attack during the operation
2. BAn allergy to the dressing on the wound
3. CA dislocated shoulder from patient positioning
4. DGas used during surgery irritating the diaphragm

Why are patients with diabetes often placed early on the operating list?

1. ABecause their wounds heal faster in the morning
2. BBecause they need to go home before midday
3. CTo shorten fasting and reduce swings in blood glucose
4. DBecause their surgery always takes longer than others

Why is a urinary catheter usually inserted in a patient with a major burn?

1. AHourly urine output guides fluid resuscitation
2. BThe catheter prevents wound infection
3. CBurns always cause the bladder to rupture
4. DIt is needed to give medicines into the bladder

An incontinent patient has diffuse, shiny, red and broken skin in the natal cleft and buttocks with irregular edges, not over a bony prominence. What is most likely?

1. AAn arterial ulcer caused by poor circulation
2. BA category 4 pressure ulcer over the sacrum
3. CA full-thickness burn
4. DIncontinence-associated dermatitis

A nurse teaches a patient with chronic pancreatitis. Which statement shows a need for further teaching?

1. A"I'll report increased thirst or passing urine more often."
2. B"I should not drink any alcohol."
3. C"I'll take my enzyme capsules at bedtime."
4. D"Oily, floating stools may mean my dose needs changing."