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

Welke bijwerking van opioïden neemt bij voortgezet gebruik meestal niet af?

1. AMisselijkheid en braken
2. BJeuk
3. CObstipatie
4. DSedatie

Welke darmgeluiden zijn typisch vroeg in een mechanische dunnedarmobstructie?

1. AVanaf het begin volledig afwezige geluiden
2. BHoogfrequente, tinkelende geluiden
3. CZachte, normale borrelende geluiden
4. DEen pleurawrijfgeruis

Which signs suggest early hypovolaemic shock after surgery?

1. AHigh blood pressure with a fast, bounding pulse
2. BRising heart rate, cool skin and slow capillary refill
3. CNormal pulse with heavy sweating only after meals
4. DSlow heart rate, flushed skin and warm hands

A routine wound swab grows bacteria, but the wound shows no signs of infection. What does this usually mean?

1. AThe swab result means the wound is infected
2. BThe wound is colonised; antibiotics are not usually needed
3. CThe wound must be closed with sutures again
4. DThe patient needs IV antibiotics straight away, whatever the wound looks like

Why are antibody levels checked after a healthcare worker receives the hepatitis B vaccine?

1. ATo check whether they caught hepatitis B from the vaccine
2. BTo decide whether they need a liver biopsy
3. CTo confirm that the vaccine produced immunity
4. DTo measure liver damage caused by the vaccine

A patient had an upper GI endoscopy with a local anaesthetic throat spray. What must the nurse check before giving a drink?

1. AThat the patient has passed urine since the procedure
2. BThat bowel sounds are present in all four quadrants
3. CThat the patient's blood glucose is above normal
4. DThat swallowing and the gag reflex have returned

Using the adult rule of nines, what is the total burn area of the whole right arm plus the whole front of the trunk (both with partial-thickness burns)?

1. A18%
2. B27%
3. C36%
4. D45%

A patient with a severe flare of ulcerative colitis develops abdominal distension, fever and tachycardia, and the stool frequency has dropped. What should the nurse suspect?

1. AHaemorrhoids caused by diarrhoea
2. BToxic megacolon
3. CSimple constipation from low intake
4. DThe flare is getting better