Lembaran kerja Perubatan-pembedahan: GI, perioperatif & onkologi dengan jawapan
Lembaran kerja Perubatan-pembedahan: GI, perioperatif & onkologi percuma untuk dicetak: 8 soalan dari mudah hingga tahap peperiksaan, dengan skema jawapan. Cetak atau simpan sebagai PDF.
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Nama: ____________________ Tarikh: ____________
1.Mudah
Bagaimanakah output ileostomi biasanya berbeza daripada output kolostomi sigmoid?
AOutput ileostomi berbentuk tahi; output kolostomi berbentuk cecair
BKedua-duanya menghasilkan gas dan mukus sahaja
COutput ileostomi berbentuk cecair; output kolostomi berbentuk tahi
DKedua-duanya menghasilkan najis berbentuk sekali sehari
2.Mudah
Which exercises are usually taught to patients before major surgery?
ADeep breathing, coughing and leg exercises
BHolding the breath for as long as possible
CHeavy weightlifting to build strength
DLong-distance running every day
3.Mudah
Which electrolyte typically falls in refeeding syndrome?
ACalcium
BPhosphate
CSodium
DChloride
4.Sederhana
A patient on enteral feeding develops diarrhoea. What should the nurse review first?
AThe patient's eye drops and skin creams
BThe patient's mobility aids and walking distance
CThe medicine chart, including laxatives and antibiotics
DThe colour of the feeding bag label
5.Sederhana
Why is an ankle-brachial pressure index (ABPI) measured before compression bandaging for a leg ulcer?
ATo exclude significant arterial disease
BTo find out how deep the ulcer is
CTo find the bacteria in the wound
DTo check for a leg bone fracture
6.Sederhana
Which check is routinely made for a patient with a burn wound?
AMeasles vaccination status
BTetanus immunisation status
CBlood group of the next of kin
DVisual acuity in both eyes
7.Sukar
A patient with haematemesis becomes drowsy and starts to vomit blood again. What is the immediate priority?
ATurn the patient onto their side to protect the airway
BComplete the admission paperwork and medication history
CSend a stool sample for faecal occult blood testing
DGive a large glass of iced water to slow the bleeding
8.Sukar
On day 3 after surgery, a patient has a temperature of 38.6 °C, respiratory rate 24/min, pulse 118/min, BP 92/58 mmHg and new confusion. What should the nurse do?
AEncourage oral fluids and wait for the doctor's round
BRecord the observations and continue routine care
CGive paracetamol and recheck in four hours
DEscalate urgently and start the sepsis pathway
Kunci jawapan
1. C · Output ileostomi berbentuk cecair; output kolostomi berbentuk tahi
2. A · Deep breathing, coughing and leg exercises
3. B · Phosphate
4. C · The medicine chart, including laxatives and antibiotics
5. A · To exclude significant arterial disease
6. B · Tetanus immunisation status
7. A · Turn the patient onto their side to protect the airway
8. D · Escalate urgently and start the sepsis pathway
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