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

When should pain be reassessed after giving analgesia?

1. AOnly at the next routine observation round the next day
2. BNever, as one assessment is enough
3. CWhen the drug is expected to have taken effect
4. DOnly if the patient asks for more analgesia

What is the first phase of wound healing?

1. AHaemostasis
2. BProliferation
3. CEpithelialisation
4. DMaturation

What is an anastomosis in bowel surgery?

1. AA tube placed in the bowel for feeding
2. BA surgical join between two ends of bowel
3. CAn opening of the bowel onto the skin
4. DA drain placed beside the bowel

Seorang pesakit dengan ileostomi baharu mempunyai output yang sangat tinggi. Apakah risiko utama?

1. ASembelit dan impaksi najis dalam usus di atas stoma
2. BKalsium tinggi dan batu karang buah pinggang dalam beberapa hari
3. CLebihan cecair dan bengkak buku lali
4. DDehidrasi dan kehilangan natrium, kalium dan magnesium

Why might a patient's platelet count be monitored while they receive heparin?

1. ATo check whether the heparin is causing anaemia
2. BTo detect heparin-induced thrombocytopenia
3. CTo see whether the patient has an infection
4. DTo measure the heparin dose in the blood exactly

Which group of findings suggests obstruction of the bile duct?

1. ANormal skin colour with diarrhoea and fever
2. BJaundice, dark urine, pale stools and itching
3. CPale urine, dark stools and a flapping tremor
4. DRed urine, black stools and a high blood glucose

In week 5 of radiotherapy, the skin in the treatment field is broken, moist and painful. What should the nurse do?

1. AReport it, keep it clean and use a non-adherent dressing
2. BUse a heat pad to speed healing
3. CApply adhesive tape directly over the area to protect it from clothing
4. DScrub the area with soap to prevent infection

After a coughing fit, the external mark on a patient's nasogastric tube has moved 10 cm. Feed is due. What should the nurse do?

1. ADo not use the tube until its position is confirmed by policy
2. BGive the medicines only and save the feed for later
3. CStart the feed at a slow rate and watch for coughing
4. DPush the tube back to the original mark and start the feed