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

What is a parastomal hernia?

1. AA sore, red area of skin under the stoma bag from leaking output
2. BA stoma that has sunk below the level of the skin
3. CA bulge of bowel through the abdominal wall next to a stoma
4. DA narrowing of the stoma opening

What is portal hypertension?

1. ARaised pressure in the portal venous system to the liver
2. BHigh blood pressure in the arteries of the arms and legs
3. CHigh pressure inside the skull
4. DRaised pressure in the lungs from heart failure

What is a Hartmann's procedure?

1. AJoining the stomach directly to the small bowel
2. BRemoval of the gallbladder through several small abdominal incisions
3. CPlacing a stent in the bile duct
4. DRemoval of part of the colon with an end colostomy and rectal stump

Which is a common side effect of opioids, especially when given by epidural or spinal route?

1. AIncreased hunger
2. BHair growth
3. CRinging in the ears
4. DItching

For which stoma can colostomy irrigation be considered?

1. AAn ileal conduit draining urine
2. BA new ileostomy in the first week
3. CAn established descending or sigmoid colostomy
4. DAny stoma that has liquid or very loose output

Which lifestyle change most improves the course of Crohn's disease?

1. ADrinking more coffee
2. BStopping smoking
3. CEating more red meat
4. DAvoiding all exercise

During a nerve block, a patient reports a metallic taste and ringing in the ears, then has a seizure. Besides calling for help and supporting the airway, which specific treatment is given?

1. AIV naloxone
2. BIV dantrolene
3. CIV lipid emulsion
4. DIV glucose 50%

A nurse teaches a patient with a new ileostomy. Which statement shows a need for further teaching?

1. A"I'll watch for dizziness and dark urine."
2. B"I'll chew my food well to avoid blockages."
3. C"I'll drink less so my bag fills more slowly."
4. D"I'll report if my output becomes very watery and high."