Lembaran kerja Perubatan-pembedahan: GI, perioperatif & onkologi dengan jawapan

Apakah tujuan Senarai Semak Keselamatan Pembedahan WHO?

1. AUntuk menyenaraikan latihan dan pengalaman pakar bedah
2. BUntuk merekod apa yang pesakit mahu makan dan minum selepas pembedahan
3. CUntuk memastikan semakan keselamatan utama berlaku sebelum, semasa dan selepas pembedahan
4. DUntuk menggantikan persetujuan termaklum bagi pembedahan terancang

What is referred pain?

1. APain that a patient makes up
2. BPain felt at a site away from the organ causing it
3. CPain that only lasts for a few seconds
4. DPain that is passed on from one doctor to another

What is the main serious risk of paracetamol (acetaminophen) overdose?

1. AStomach bleeding
2. BRespiratory depression
3. CHearing loss
4. DLiver damage

Which statement about giving medicines through a feeding tube is correct?

1. AModified-release tablets should not be crushed
2. BMedicines can be added to the bag of feed
3. CTubes do not need flushing between medicines
4. DAll tablets can be crushed together and given at once

Why are accurate fluid balance charts kept after major surgery?

1. ATo detect dehydration, fluid overload or kidney problems early
2. BTo decide which meal the patient will have next
3. CTo record when visitors come and go
4. DTo check how far the patient has walked and how often they get out of bed

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

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

After surgery, a patient says they have "no pain" but grimaces, breathes shallowly and refuses to move or cough. What should the nurse do?

1. AExplore their beliefs and explain how analgesia aids recovery
2. BTell the patient firmly that they must stop hiding their pain from staff
3. CAccept the statement and record a pain score of 0
4. DInsist they walk without any analgesia

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. AToo little calorie intake
2. BNormal adjustment to the new feed
3. CRefeeding syndrome
4. DAn allergy to the feed formula