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

Menggunakan peraturan sembilan pada orang dewasa, berapakah peratusan bagi satu kaki keseluruhan?

1. A9%
2. B18%
3. C4.5%
4. D27%

Kesan sampingan opioid manakah yang biasanya tidak berkurang dengan penggunaan berterusan?

1. ASedasi
2. BLoya dan muntah
3. CGatal
4. DSembelit

Why are pressure areas padded when a patient is positioned for surgery?

1. ATo warm the patient during the procedure
2. BTo keep the patient from moving during the operation
3. CTo make the operating table look tidy
4. DTo prevent pressure injury and nerve damage

Which early symptoms suggest local anaesthetic systemic toxicity?

1. AIncreased hunger and thirst over several hours, with a dry mouth
2. BTingling around the mouth, a metallic taste and tinnitus
3. CA red rash only at the injection site, with no other symptoms
4. DMild itching of the feet the next day

Why are accurate fluid balance charts kept after major surgery?

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

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

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

A patient with cirrhosis takes spironolactone and furosemide. Which blood result should the nurse report before the next dose?

1. APotassium 6.0 mmol/L
2. BSodium 141 mmol/L
3. CSodium 138 mmol/L
4. DPotassium 4.2 mmol/L

Pada hari ke-2 selepas pembedahan abdomen atas, seorang pesakit mempunyai suhu 37.8 °C, SpO₂ 93% pada udara bilik dan bunyi nafas berkurang di kedua-dua dasar. Mereka tidak menggunakan spirometer insentif kerana kesakitan. Apakah pelan kejururawatan yang paling sesuai?

1. AMemastikan pesakit di katil dan menyekat pergerakan sehingga demam reda
2. BMemberikan oksigen pada 15 L/min dan membiarkan pesakit berehat dengan tenang
3. CMenghentikan semua analgesia supaya pesakit boleh batuk dengan lebih kuat
4. DKawalan kesakitan yang lebih baik, duduk tegak, pernafasan dalam, mobilisasi dan melapor