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

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Naam: ____________________   Datum: ____________

1.Makkelijk

Which urine output is commonly used as the minimum acceptable value for an adult after surgery?

  1. AAbout 0,5 mL/kg per hour
  2. BAbout 0,05 mL/kg per hour
  3. CAbout 50 mL/kg per hour
  4. DAbout 5 mL/kg per hour
2.Makkelijk

Which is an example of a non-drug method of pain relief?

  1. ARelaxation and distraction
  2. BAn ibuprofen tablet with food
  3. CA morphine injection into the thigh
  4. DA lidocaine patch
3.Makkelijk

Which two sites are most common for pressure ulcers in patients lying in bed?

  1. AThe thighs and the upper arms
  2. BThe sacrum and the heels
  3. CThe forearms and the knees
  4. DThe palms and the forehead
4.Gemiddeld

After a spinal anaesthetic, which nursing check is particularly important?

  1. ABlood glucose every 15 minutes overnight
  2. BPupil reaction every five minutes for the next full day
  3. CReturn of leg sensation and movement, and passing urine
  4. DPeak flow before and after each meal
5.Gemiddeld

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

  1. AMedicines can be added to the bag of feed
  2. BTubes do not need flushing between medicines
  3. CModified-release tablets should not be crushed
  4. DAll tablets can be crushed together and given at once
6.Gemiddeld

Which patient is at highest risk of refeeding syndrome?

  1. AAn underweight patient who has eaten very little for 10 days
  2. BA patient who missed one lunch because of a scan
  3. CA patient with a normal BMI eating three meals a day
  4. DA healthy adult after an overnight fast for minor surgery
7.Moeilijk

After a high-voltage electrical injury, a patient's urine is dark red-brown. What does this suggest and what is the usual aim?

  1. AMyoglobin from muscle damage; a higher urine output target
  2. BA urinary infection; send a sample and wait for the result
  3. CNormal concentrated urine; restrict fluids
  4. DBleeding from the bladder; stop all fluids
8.Moeilijk

A patient on warfarin has a major upper GI bleed with an INR of 5. Which treatment should the nurse anticipate to reverse the warfarin?

  1. AProthrombin complex concentrate with IV vitamin K
  2. BProtamine sulfate on its own
  3. COral aspirin to balance the clotting system quickly
  4. DMore warfarin to stabilise the INR

Antwoordenblad

  1. 1. A · About 0,5 mL/kg per hour
  2. 2. A · Relaxation and distraction
  3. 3. B · The sacrum and the heels
  4. 4. C · Return of leg sensation and movement, and passing urine
  5. 5. C · Modified-release tablets should not be crushed
  6. 6. A · An underweight patient who has eaten very little for 10 days
  7. 7. A · Myoglobin from muscle damage; a higher urine output target
  8. 8. A · Prothrombin complex concentrate with IV vitamin K

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