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

What is adjuvant chemotherapy?

1. ATreatment given only to patients who refuse surgery or radiotherapy
2. BTreatment given before a biopsy is taken
3. CTreatment after surgery to reduce the risk of recurrence
4. DTreatment given only to relieve symptoms

What is an escharotomy?

1. ARemoval of the whole limb after a deep, extensive burn
2. BPlacing a skin graft on a burn
3. CA cut through burned, tight skin to relieve pressure
4. DDraining a blister with a needle

Why is a temporary loop ileostomy often formed after a low bowel resection?

1. ATo let the patient eat without chewing
2. BTo drain urine from the kidneys
3. CTo remove the whole colon permanently in a single operation
4. DTo divert stool while the join further down heals

Which description fits a category (stage) 4 pressure ulcer?

1. AA shallow wound into the dermis only
2. BA blister filled with clear fluid over the heel or sacrum
3. CFull-thickness loss with exposed bone, tendon or muscle
4. DIntact skin with redness that does not blanch

Welke beoordelingen aan het bed worden gebruikt om ascites te volgen?

1. APupilgrootte en reactie twee keer per dag
2. BCapillaire glucose vóór elke maaltijd
3. CPiekstroom en zuurstofsaturatie
4. DDagelijks gewicht en buikomvang

Why are laxatives and enemas avoided when appendicitis is suspected?

1. AThey always cause the appendix to bleed heavily
2. BThey make the blood tests impossible to read
3. CThey stop antibiotics from being absorbed
4. DThey may increase the risk of perforation

A nurse teaches a patient going home between chemotherapy cycles. Which statement shows a need for further teaching?

1. A"If I get a fever, I'll take paracetamol and see if it settles."
2. B"I'll check my temperature whenever I feel hot, shivery or unwell."
3. C"I'll keep the emergency number and call if I feel shivery."
4. D"I'll wash my hands often and avoid people with infections."

A patient's long-standing groin hernia has become tender, red and irreducible, and they are vomiting. What should the nurse do?

1. AAdvise the patient to wear a tight truss and rest
2. BApply a hot water bottle and give a laxative
3. CKeep them nil by mouth and arrange urgent surgical review
4. DPush the hernia firmly back in, then discharge home