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

Which bedside test is commonly used to check for postoperative urinary retention?

1. AA blood glucose test
2. BA bladder ultrasound scan
3. CA 12-lead ECG
4. DA chest X-ray

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 check that the patient is not thirsty
3. CTo clean the stomach before the next meal
4. DTo keep it clear and stop drugs mixing with feed

What is the key difference between a benign and a malignant tumour?

1. AA malignant tumour invades nearby tissue and can spread
2. BA benign tumour always spreads to the lymph nodes
3. CA malignant tumour never needs any treatment
4. DA benign tumour always grows faster than a malignant one

Which group of findings suggests obstruction of the bile duct?

1. ANormal skin colour with diarrhoea and fever
2. BJaundice, dark urine, pale stools and itching
3. CPale urine, dark stools and a flapping tremor
4. DRed urine, black stools and a high blood glucose

A patient on enteral feeding develops diarrhoea. What should the nurse review first?

1. AThe patient's mobility aids and walking distance
2. BThe colour of the feeding bag label
3. CThe medicine chart, including laxatives and antibiotics
4. DThe patient's eye drops and skin creams

Which patient is at highest risk of refeeding syndrome?

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

Which history should most alert the nurse to a possible latex allergy before surgery?

1. AFeeling sick after eating shellfish once
2. BHay fever every spring since childhood
3. CItching with bananas, avocado and kiwi, and many operations
4. DA rash after taking amoxicillin as a child, with a family history of asthma

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. AStop all drinking for 24 hours
2. BLimit plain drinks and use an oral rehydration solution
3. CEat only fruit and fruit juice
4. DDrink even more plain water and tea to replace the losses