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

When should pain be reassessed after giving analgesia?

1. AOnly at the next routine observation round the next day
2. BNever, as one assessment is enough
3. COnly if the patient asks for more analgesia
4. DWhen the drug is expected to have taken effect

Which symptom is typical of haemorrhoids?

1. AYellow skin, dark urine and pale stools that float in the toilet
2. BBright red blood on the paper after opening the bowels
3. CBlack, tarry stools with a strong smell
4. DVomiting of dark, coffee-ground material

Which statement describes moderate ("conscious") sedation?

1. AThe patient needs a ventilator to breathe
2. BThe patient cannot be roused by any stimulus, even a painful one
3. CThe patient is fully alert and anxious
4. DThe patient is drowsy but responds to voice or light touch

After laparoscopic cholecystectomy, a patient has pain in the right shoulder. What is the most likely cause?

1. AAn allergy to the dressing on the wound
2. BGas used during surgery irritating the diaphragm
3. CA heart attack during the operation
4. DA dislocated shoulder from patient positioning

Why does a patient need lifelong vitamin B₁₂ injections after total gastrectomy?

1. AThe small bowel stops absorbing all nutrients
2. BThe liver can no longer store any vitamins
3. CVitamin B₁₂ is lost in the urine after the surgery
4. DIntrinsic factor from the stomach is no longer made

Which neutrophil count indicates severe neutropenia?

1. AAbove 2,0 × 10⁹/L
2. BBelow 0,5 × 10⁹/L
3. CBelow 7,5 × 10⁹/L
4. DAbove 10 × 10⁹/L

Four patients from a house fire arrive in the emergency department. Which should the nurse assess first?

1. APartial-thickness burns to both legs, with pain rated 8/10
2. BCircumferential chest burns, with breathing becoming shallow and laboured
3. CRedness on the backs of both hands, and very anxious
4. DA blistered forearm burn and a small cut on the knee

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. AUse the highest NSAID dose to shorten the course
2. BTake the NSAID with a glass of milk instead of food
3. CConsider an alternative; if an NSAID is needed, add a PPI
4. DCombine two different NSAIDs at lower doses