Werkblad Medisch-chirurgisch: maag-darmstelsel, perioperatief en oncologie met antwoorden

What is the Braden scale (or a similar tool such as Waterlow) used for?

1. AAssessing the risk of developing pressure ulcers
2. BGrading the depth of a burn wound before dressing it
3. CMeasuring a patient's level of consciousness
4. DScoring the severity of nausea

Welk advies helpt een patiënt met orale mucositis door chemotherapie?

1. AVoorzichtige verzorging met een zachte tandenborstel en spoelen met zoutoplossing
2. BHete, pittige gerechten om de speekselvloed te stimuleren
3. CAlle mondverzorging staken tot de pijn is verdwenen
4. DMeerdere keren per dag een mondwater op alcoholbasis gebruiken om te desinfecteren

What is the purpose of anti-embolism stockings for surgical patients?

1. ATo lower the blood pressure after surgery
2. BTo keep the legs warm in theatre
3. CTo reduce the risk of deep vein thrombosis
4. DTo prevent pressure ulcers on the heels

Which is correct when caring for a patient with a PICC line?

1. ALeave the external length unchecked once it is placed
2. BAvoid taking blood pressure on the arm with the line
3. CFlush the line only when it blocks
4. DUse the PICC arm for heavy lifting to keep it flexible

Why is IV albumin often given after a large-volume paracentesis?

1. ATo treat infection in the ascitic fluid
2. BTo raise the blood glucose after the procedure
3. CTo replace the clotting factors and platelets lost in the drained fluid
4. DTo prevent low blood pressure and kidney injury from fluid shifts

Which diet is usually recommended for a patient with cirrhosis and hepatic encephalopathy?

1. ANo food at all until the confusion settles
2. BA very low-protein diet for the rest of their life to lower ammonia
3. CNormal protein and enough calories, with a late-evening snack
4. DOnly clear fluids for several weeks

A patient's ileostomy output is 2,5 L a day. They feel tired and dizzy and are drinking large amounts of water. Which advice is usually appropriate?

1. ADrink even more plain water and tea to replace the losses
2. BEat only fruit and fruit juice
3. CStop all drinking for 24 hours
4. DLimit plain drinks and use an oral rehydration solution

A 76-year-old with a past peptic ulcer needs long-term anti-inflammatory treatment for arthritis. Which plan best reduces GI bleeding risk?

1. ATake the NSAID with a glass of milk instead of food
2. BConsider an alternative; if an NSAID is needed, add a PPI
3. CCombine two different NSAIDs at lower doses
4. DUse the highest NSAID dose to shorten the course