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

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Naam: ____________________   Datum: ____________

1.Makkelijk

Which lifestyle advice helps reduce night-time reflux symptoms?

  1. ANo food for 3 hours before bed, with the head of the bed raised
  2. BHave the largest meal of the day just before going to bed to aid sleep
  3. CDrink a large glass of fizzy water before lying down
  4. DSleep flat on several pillows placed under the knees
2.Makkelijk

Why is a feeding tube flushed with water before and after giving medicines?

  1. ATo warm the tube so it is more comfortable
  2. BTo keep it clear and stop drugs mixing with feed
  3. CTo check that the patient is not thirsty
  4. DTo clean the stomach before the next meal
3.Makkelijk

Which signs suggest peritonitis?

  1. ALoud bowel sounds with a hungry feeling
  2. BA soft abdomen with no pain on pressing
  3. CA small, painless lump near the umbilicus
  4. DGuarding, rebound tenderness and a rigid abdomen
4.Gemiddeld

Which monitoring is especially important for a patient receiving parenteral nutrition?

  1. ABowel sounds and stool colour only
  2. BPeak flow and visual acuity
  3. CPupil size and limb strength
  4. DBlood glucose and signs of line infection
5.Gemiddeld

How can low-dose opioids help a patient with breathlessness from advanced cancer?

  1. AThey increase the oxygen level in the blood
  2. BThey cure the underlying lung disease
  3. CThey reduce the feeling of breathlessness
  4. DThey open the airways like an inhaler
6.Gemiddeld

Why is a pregnancy test often done before surgery in women who could be pregnant?

  1. APregnant women cannot sign consent forms
  2. BAnaesthesia, drugs and some tests may harm a fetus
  3. CPregnancy always makes surgery impossible
  4. DIt is needed to calculate the anaesthetic drug dose
7.Moeilijk

During bowel preparation, an older patient becomes dizzy and confused. Blood tests show sodium 127 mmol/L. What should the nurse do?

  1. AEncourage plain water only, as much as possible
  2. BStop the preparation and escalate to the medical team
  3. CGive the rest of the preparation more quickly
  4. DRecord it and continue as planned, as this is expected
8.Moeilijk

A patient with a permanent pacemaker is booked for surgery using monopolar diathermy. Why must the team know?

  1. APacemakers stop all bleeding during surgery
  2. BThe pacemaker will always be removed during surgery
  3. CDiathermy can interfere with the pacemaker's function
  4. DThe patient cannot have any anaesthetic at all

Antwoordenblad

  1. 1. A · No food for 3 hours before bed, with the head of the bed raised
  2. 2. B · To keep it clear and stop drugs mixing with feed
  3. 3. D · Guarding, rebound tenderness and a rigid abdomen
  4. 4. D · Blood glucose and signs of line infection
  5. 5. C · They reduce the feeling of breathlessness
  6. 6. B · Anaesthesia, drugs and some tests may harm a fetus
  7. 7. B · Stop the preparation and escalate to the medical team
  8. 8. C · Diathermy can interfere with the pacemaker's function

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