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

What is an anastomosis in bowel surgery?

1. AA drain placed beside the bowel
2. BA tube placed in the bowel for feeding
3. CAn opening of the bowel onto the skin
4. DA surgical join between two ends of bowel

What is slough in a wound?

1. AA thick, hard black crust
2. BYellow, soft, stringy dead tissue
3. CRed, healthy granulation tissue
4. DPink, new skin at the wound edge

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

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

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

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

Why are many patients screened for MRSA before planned surgery?

1. ASo that carriers can be decolonised to reduce infection
2. BTo decide which anaesthetic drug to use
3. CTo check whether the patient has had a flu vaccine
4. DSo that surgery can be cancelled for all positive patients

How is an uncomplicated sigmoid volvulus often first treated?

1. AEating a large high-fibre meal
2. BA barium meal given by mouth to untwist the bowel slowly
3. CDecompression with a flexible sigmoidoscope and flatus tube
4. DHigh-dose laxatives taken by mouth

A competent adult who is a Jehovah's Witness refuses blood transfusion before major surgery. What should the nurse do?

1. APlan to transfuse secretly during the operation if it becomes needed
2. BAsk the family to override the decision
3. CCancel the surgery without discussing it
4. DRespect the decision, document it and inform the team

Een volwassene van 70 kg heeft brandwonden over 40% van het totale lichaamsoppervlak. Hoe wordt volgens de Parklandformule de kristalloïde van de eerste 24 uur meestal verdeeld?

1. ADe helft in de eerste 8 uur vanaf het moment van de brandwond, de helft over de volgende 16 uur
2. BEen kwart in de eerste 8 uur vanaf aankomst, de rest over 16 uur
3. CAlles in het eerste uur, daarna de rest van de dag alleen orale vloeistoffen
4. DGelijke uurhoeveelheden over 24 uur, geteld vanaf aankomst in het ziekenhuis