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

Pertolongan cemas manakah yang disyorkan untuk lecuran haba?

1. AAir paip sejuk mengalir selama kira-kira 20 minit
2. BMentega atau minyak disapu pada lecuran
3. CMemecahkan lepuh serta-merta
4. DAis diletakkan terus pada lecuran selama 20 minit

What is a PICC line?

1. AA catheter placed in the bladder through the lower abdominal wall
2. BA short cannula in a vein on the back of the hand
3. CA central venous catheter inserted through a vein in the arm
4. DA tube inserted into the stomach through the abdomen

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

Why are patients with large burns at risk of hypothermia?

1. ABurns always cause a low thyroid hormone level in the blood
2. BLoss of skin reduces their ability to keep in heat
3. CThe fluids given are always chilled
4. DTheir metabolism stops after the injury

Why is it important to prevent perioperative hypothermia?

1. AIt reduces the amount of anaesthetic needed, which is unsafe
2. BIt lowers the risk of pain after surgery
3. CIt increases bleeding, wound infection and heart complications
4. DIt makes patients wake up from the anaesthetic too quickly

Which wound drain observation should be reported immediately?

1. AA little dried blood around the drain site
2. BA sudden large volume of fresh red blood
3. CSmall amounts of pink serous fluid
4. DDrainage slowly falling each day

Which history should most alert the nurse to a possible latex allergy before surgery?

1. AFeeling sick after eating shellfish once
2. BItching with bananas, avocado and kiwi, and many operations
3. CA rash after taking amoxicillin as a child, with a family history of asthma
4. DHay fever every spring since childhood

Pada hari ke-3 selepas pembedahan pinggul, seorang pesakit warga emas menjadi keliru secara akut, dengan perhatian yang berubah-ubah dan kegelisahan. Apakah yang patut dilakukan oleh jururawat dahulu?

1. AMencari punca seperti hipoksia, jangkitan, kesakitan atau ubat, dan membuat eskalasi
2. BMeminta keluarga membawa pesakit pulang supaya mereka dapat tenang
3. CMenyekat pesakit dan memberikan dos sedatif yang besar serta-merta
4. DMenganggap ia demensia dan meneruskan pelan penjagaan tanpa perubahan