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

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Naam: ____________________   Datum: ____________

1.Makkelijk

Which measure helps prevent burn scar contractures?

  1. AAvoiding all movement until the wound has healed
  2. BKeeping the joint bent in the most comfortable position
  3. CPositioning, splinting and regular stretching exercises
  4. DApplying ice packs to the scar every day
2.Makkelijk

What is a keloid scar?

  1. AA flat, pale scar that fades and softens over time
  2. BA wound that will not close at all
  3. CA scar that forms only on the inside of the body
  4. DA raised scar that grows beyond the edges of the wound
3.Makkelijk

Hoe beschrijven patiënten neuropathische pijn meestal?

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

Which advice helps a patient with haemorrhoids?

  1. ASit on the toilet for long periods to empty fully
  2. BTake a codeine-based painkiller every day
  3. CEat less fibre so that stools are smaller
  4. DEat more fibre, drink enough fluid and avoid straining
5.Gemiddeld

Before an anti-TNF biologic such as infliximab is started for Crohn's disease, which screening is essential?

  1. AA test of colour vision
  2. BA bone density scan
  3. CA test for coeliac disease
  4. DScreening for tuberculosis
6.Gemiddeld

Why is a gastrostomy tube with an internal bumper usually advanced and rotated regularly once the tract has healed?

  1. ATo stop the inner bumper becoming buried in the stomach wall
  2. BTo make the tube longer as the patient grows or gains weight
  3. CTo check that the patient is still hungry
  4. DTo remove any feed left in the stomach
7.Moeilijk

A patient taking IV antibiotics has three unexplained loose stools in 24 hours. What should the nurse do first?

  1. AGive loperamide after each loose stool and continue as usual
  2. BWait two days to see if the diarrhoea settles
  3. CMove the patient to a bay with other patients to watch them closely
  4. DIsolate the patient and send a stool sample for testing
8.Moeilijk

An hour after a line flush, a patient receiving parenteral nutrition has rigors and a temperature of 39,1 °C. What should the nurse suspect and do?

  1. ALine infection; escalate and take blood cultures
  2. BA normal reaction; give paracetamol and continue the infusion
  3. CLow blood glucose; give a sugary drink
  4. DFluid overload; reduce the infusion rate only

Antwoordenblad

  1. 1. C · Positioning, splinting and regular stretching exercises
  2. 2. D · A raised scar that grows beyond the edges of the wound
  3. 3. A · Brandend, schietend of als elektrische schokken
  4. 4. D · Eat more fibre, drink enough fluid and avoid straining
  5. 5. D · Screening for tuberculosis
  6. 6. A · To stop the inner bumper becoming buried in the stomach wall
  7. 7. D · Isolate the patient and send a stool sample for testing
  8. 8. A · Line infection; escalate and take blood cultures

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