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

At which stage of the WHO Surgical Safety Checklist does the team confirm the patient, site and procedure just before the skin incision?

1. ATime Out
2. BSign In
3. CHandover
4. DSign Out

What is an autograft in burn care?

1. ASkin taken from another part of the patient's own body
2. BA synthetic dressing made in a laboratory from collagen
3. CSkin taken from a donor who has died
4. DSkin taken from a pig or other animal

Which finding describes a category 1 pressure ulcer?

1. AIntact skin with redness that does not blanch
2. BAn open wound with visible bone at the base
3. CA shallow open wound with a red-pink base and no slough
4. DA wound covered with thick black eschar

A nasogastric feeding tube appears blocked. What is usually the first step?

1. APush the guidewire back in to clear it
2. BFlush gently with warm water in a 50 mL enteral syringe
3. CCut the end of the tube to release the blockage inside it
4. DUse a small 5 mL syringe with firm pressure

Which statement about pain in older adults is correct?

1. APain is a normal part of ageing and does not need any treatment at all
2. BOlder adults feel less pain because nerves wear out
3. CThey may under-report pain, so active assessment is needed
4. DOpioids must never be used in people over 70

How can low-dose opioids help a patient with breathlessness from advanced cancer?

1. AThey increase the oxygen level in the blood
2. BThey open the airways like an inhaler
3. CThey cure the underlying lung disease
4. DThey reduce the feeling of breathlessness

A nurse teaches a patient with a new ileostomy. Which statement shows a need for further teaching?

1. A"I'll watch for dizziness and dark urine."
2. B"I'll drink less so my bag fills more slowly."
3. C"I'll chew my food well to avoid blockages."
4. D"I'll report if my output becomes very watery and high."

Pada hari ke-6 setelah operasi abdomen, seorang pasien mengatakan ada sesuatu yang "terbuka" saat batuk, dan usus terlihat melalui luka. Apa yang harus segera dilakukan perawat?

1. AMembiarkan luka terbuka dan mendudukkan pasien tegak penuh di tempat tidur
2. BMendorong usus kembali dengan lembut dan merekatkan tepi luka dengan kuat
3. CMemberi pasien makanan ringan untuk menenangkan sambil menunggu tim
4. DMenutup dengan balutan steril basah salin, menekuk lutut, memanggil dokter bedah