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

Welk type wondgenezing beschrijft een schone chirurgische incisie die met hechtingen is gesloten?

1. AUitgestelde wondgenezing
2. BPrimaire wondgenezing (primaire intentie)
3. CTertiaire wondgenezing (tertiaire intentie)
4. DSecundaire wondgenezing (secundaire intentie)

Which symptom in an adult over 50 is a red flag for colorectal cancer?

1. AMild bloating before a period
2. BOccasional wind and rumbling after eating a meal of beans
3. COne episode of loose stools after a takeaway meal
4. DA lasting change in bowel habit with rectal bleeding

What is dumping syndrome after gastric surgery?

1. ARapid passage of food from the stomach into the small bowel
2. BSlow emptying of the stomach causing food to stay for days
3. CReflux of bowel contents back into the oesophagus
4. DLeakage of bile from the liver into the abdominal cavity

Which complication is more typical of Crohn's disease than of ulcerative colitis?

1. ADisease that is cured by removing the colon
2. BBleeding only from the rectum
3. CInflammation limited to the rectal lining
4. DFistulas between the bowel and other organs

In the SBAR communication tool, what belongs under "A"?

1. AA list of the patient's allergies only
2. BThe address and phone number of the patient's next of kin
3. CThe nurse's assessment of what the problem is
4. DThe patient's admission date only

Welke bewering over multimodale pijnstilling is juist?

1. AGeneesmiddelen met verschillende werkingen worden gecombineerd om de opioïdbehoefte te verminderen
2. BEr mag nooit meer dan één pijnstiller tegelijk worden gegeven
3. CMeerdere verschillende opioïden worden gecombineerd voor een sterker totaaleffect
4. DHet is een methode die alleen voor langdurige chronische pijn wordt gebruikt

A sacral wound has heavy exudate, and the surrounding skin is white, soft and wrinkled. What should the nurse do?

1. AUse a dressing that adds even more moisture
2. BLeave the same dressing in place for a week so the wound is not disturbed
3. CProtect the skin edges and use a more absorbent dressing
4. DApply a tight plastic film directly over the wound

During burn resuscitation, a 70 kg adult's urine output has been 120 mL/h for 3 hours, and the face and limbs are very oedematous. What should the nurse do?

1. AGive a diuretic without discussing it
2. BStop all IV fluids completely and remove the catheter
3. CIncrease the fluid rate to keep the output high
4. DDiscuss reducing the fluid rate with the team