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

What is the Braden scale (or a similar tool such as Waterlow) used for?

1. AGrading the depth of a burn wound before dressing it
2. BMeasuring a patient's level of consciousness
3. CScoring the severity of nausea
4. DAssessing the risk of developing pressure ulcers

Hoe beschrijven patiënten neuropathische pijn meestal?

1. ABrandend, schietend of als elektrische schokken
2. BEen kloppende pijn die alleen optreedt bij druk op het gebied
3. CEen doffe pijn die erger wordt bij bewegen
4. DEen krampende pijn die in golven komt

What is diverticulosis?

1. ASmall pouches in the wall of the colon
2. BA twist of the sigmoid colon on itself
3. CA tumour growing inside the rectum
4. DInflammation of the whole small bowel wall

Dysphagia that started with solids and now includes liquids, with weight loss, most suggests which cause?

1. ASimple anxiety about swallowing tablets
2. BA narrowing such as an oesophageal tumour
3. CA dry mouth from drinking too little water
4. DNormal ageing of the swallowing muscles

What is anticipatory nausea in chemotherapy?

1. ANausea caused by low blood glucose
2. BNausea caused only by the smell of food
3. CNausea that starts about a week after each cycle and lasts for days
4. DNausea triggered by reminders of treatment before it is given

Which rule about the sterile field is correct?

1. AA sterile pack stays sterile even when it is wet
2. BThe area below a gowned person's waist is sterile
3. CIf sterility is in doubt, the item is treated as contaminated
4. DSterile items can be passed across a non-sterile area freely

An 80 kg adult has 30% TBSA partial- and full-thickness burns. Using the Parkland formula, how much crystalloid is planned for the first 8 hours from the time of the burn?

1. A2400 mL
2. B4800 mL
3. C3200 mL
4. D9600 mL

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. ADiscuss reducing the fluid rate with the team
2. BIncrease the fluid rate to keep the output high
3. CStop all IV fluids completely and remove the catheter
4. DGive a diuretic without discussing it