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

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Naam: ____________________   Datum: ____________

1.Makkelijk

Welke eerste hulp wordt aanbevolen bij een thermische brandwond?

  1. ABoter of olie over de brandwond smeren
  2. BDe blaren direct doorprikken
  3. COngeveer 20 minuten koelen met lauw stromend water
  4. DGedurende 20 minuten ijs direct op de brandwond leggen
2.Makkelijk

Why should rings, watches and tight clothing be removed early after a burn to the arm?

  1. ASwelling may follow, and they could cut off the circulation
  2. BThey make the burn look worse in photographs
  3. CMetal items always cause infection in burns
  4. DThey interfere with the rule of nines calculation of burn size
3.Makkelijk

What is the MUST tool used for?

  1. AScreening adults for malnutrition risk
  2. BScoring the severity of a burn injury
  3. CAssessing the risk of falls
  4. DMeasuring pain in confused patients
4.Gemiddeld

A patient with obstructive sleep apnoea is admitted for surgery. Which instruction is most appropriate?

  1. AAvoid sleeping at all on the night after surgery
  2. BLie flat on their back for the first night
  3. CBring their CPAP machine to use after surgery
  4. DStop all pain relief for the first three days
5.Gemiddeld

A patient on enteral feeding develops diarrhoea. What should the nurse review first?

  1. AThe colour of the feeding bag label
  2. BThe medicine chart, including laxatives and antibiotics
  3. CThe patient's mobility aids and walking distance
  4. DThe patient's eye drops and skin creams
6.Gemiddeld

Which finding means a patient is usually ready to leave recovery for the ward?

  1. APain score 9/10 and vomiting repeatedly
  2. BSystolic BP falling steadily over the last hour, with a rising pulse rate
  3. CAwake, with a clear airway, stable observations and controlled pain
  4. DStill drowsy and needing a jaw thrust to breathe
7.Moeilijk

On day 3 after laparoscopic cholecystectomy, a patient has abdominal pain, fever and mild jaundice, and green fluid is draining from the drain. What is most likely?

  1. AA wound haematoma
  2. BNormal post-operative drainage
  3. CUrinary retention
  4. DA bile leak
8.Moeilijk

After two days of large volumes of IV 5% glucose, a postoperative patient becomes confused with a headache. Sodium is 124 mmol/L. What is the likely cause?

  1. ANormal confusion after any anaesthetic
  2. BHypernatraemia from too much salt
  3. CHyponatraemia from hypotonic fluids
  4. DHypoglycaemia from the glucose

Antwoordenblad

  1. 1. C · Ongeveer 20 minuten koelen met lauw stromend water
  2. 2. A · Swelling may follow, and they could cut off the circulation
  3. 3. A · Screening adults for malnutrition risk
  4. 4. C · Bring their CPAP machine to use after surgery
  5. 5. B · The medicine chart, including laxatives and antibiotics
  6. 6. C · Awake, with a clear airway, stable observations and controlled pain
  7. 7. D · A bile leak
  8. 8. C · Hyponatraemia from hypotonic fluids

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