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

What is abdominal paracentesis?

1. AA camera test of the lining of the large bowel
2. BInjection of dye into a vein in the arm
3. CDraining fluid from the abdominal cavity with a needle or drain
4. DRemoval of the gallbladder through several small abdominal incisions

Which signs suggest a surgical site infection?

1. AMild bruising around the wound that is fading a little each day
2. BMild itching as the wound heals
3. CIncreasing pain, redness, swelling, heat and pus
4. DA dry wound edge with a thin scab

Mengapa suhu rektal dan supositoria dihindari pada pasien neutropenia?

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

A patient has taken oral prednisolone daily for many months. Why is this important before surgery?

1. AThey may need extra steroid cover to prevent an adrenal crisis
2. BSteroids must always be stopped a full week before any type of surgery
3. CSteroids prevent all wound infections after surgery
4. DSteroids make the anaesthetic drugs last much longer

How is an uncomplicated sigmoid volvulus often first treated?

1. ADecompression with a flexible sigmoidoscope and flatus tube
2. BEating a large high-fibre meal
3. CA barium meal given by mouth to untwist the bowel slowly
4. DHigh-dose laxatives taken by mouth

What is the main treatment for a venous leg ulcer with an adequate arterial supply?

1. AStrong oral antibiotics for all ulcers
2. BCompression therapy
3. CSurgery to amputate the limb
4. DKeeping the leg hanging down all day

While a central line is disconnected, a patient suddenly becomes breathless with chest pain and hypotension. Air embolism is suspected. What should the nurse do first?

1. ASit the patient fully upright and flush the line
2. BGive the patient a drink and observe for an hour
3. CClamp the line, lie the patient left side down, head low; give oxygen
4. DRemove the central line straight away and leave the site open to the air

Shortly after a spinal anaesthetic, a patient says their arms feel weak and it is hard to breathe, and the BP is falling. What is most likely?

1. AA normal spinal effect
2. BA high spinal block
3. CA post-dural puncture headache
4. DAn anxiety attack