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

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Naam: ____________________   Datum: ____________

1.Makkelijk

Which signs suggest a deep vein thrombosis in the leg?

  1. AItching between the toes of both feet
  2. BA painless rash on both shins
  3. CCold, pale feet on both sides with no pulse
  4. DSwelling, pain, warmth and redness of one calf
2.Makkelijk

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

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

Welke darmgeluiden zijn typisch vroeg in een mechanische dunnedarmobstructie?

  1. AZachte, normale borrelende geluiden
  2. BHoogfrequente, tinkelende geluiden
  3. CEen pleurawrijfgeruis
  4. DVanaf het begin volledig afwezige geluiden
4.Gemiddeld

Which finding means a patient is usually ready to leave recovery for the ward?

  1. APain score 9/10 and vomiting repeatedly
  2. BSystolic BP falling steadily over the last hour, with a rising pulse rate
  3. CAwake, with a clear airway, stable observations and controlled pain
  4. DStill drowsy and needing a jaw thrust to breathe
5.Gemiddeld

A patient with obstructive sleep apnoea is admitted for surgery. Which instruction is most appropriate?

  1. AAvoid sleeping at all on the night after surgery
  2. BStop all pain relief for the first three days
  3. CBring their CPAP machine to use after surgery
  4. DLie flat on their back for the first night
6.Gemiddeld

Which is a recognised risk of long-term proton pump inhibitor use?

  1. AHypernatraemia
  2. BHyperkalaemia
  3. CHypomagnesaemia
  4. DHypercalcaemia
7.Moeilijk

Which preoperative task can a registered nurse usually delegate to a healthcare assistant (nursing assistant)?

  1. ARecording baseline vital signs
  2. BAssessing the patient's understanding of the surgery
  3. CDeciding whether abnormal results need reporting
  4. DTeaching the patient how to use a PCA pump
8.Moeilijk

Which patient has the highest risk of postoperative nausea and vomiting?

  1. AA male smoker having a short procedure without opioids
  2. BA man with no history of nausea having local anaesthetic only
  3. CA non-smoking woman with motion sickness who will need opioids
  4. DA smoker who has never had nausea after surgery

Antwoordenblad

  1. 1. D · Swelling, pain, warmth and redness of one calf
  2. 2. D · The sacrum and the heels
  3. 3. B · Hoogfrequente, tinkelende geluiden
  4. 4. C · Awake, with a clear airway, stable observations and controlled pain
  5. 5. C · Bring their CPAP machine to use after surgery
  6. 6. C · Hypomagnesaemia
  7. 7. A · Recording baseline vital signs
  8. 8. C · A non-smoking woman with motion sickness who will need opioids

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