Werkblad Medisch-chirurgisch: maag-darmstelsel, perioperatief en oncologie met antwoorden
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Naam: ____________________ Datum: ____________
1.Makkelijk
What is a Hartmann's procedure?
ARemoval of the gallbladder through several small abdominal incisions
BRemoval of part of the colon with an end colostomy and rectal stump
CPlacing a stent in the bile duct
DJoining the stomach directly to the small bowel
2.Makkelijk
Which preoperative allergy must be communicated so that theatre equipment can be changed?
APollen allergy
BHouse dust mite allergy
CCat hair allergy
DLatex allergy
3.Makkelijk
What is the main purpose of marking the surgical site before an operation?
ATo record the patient's allergy status
BTo prevent surgery on the wrong side or site
CTo tell the porter which theatre to go to
DTo show where the skin should be shaved
4.Gemiddeld
Which nursing care helps a new skin graft take?
AEncouraging the patient to exercise the area straight away
BRemoving the dressing every hour to look at it
CKeeping the area still and avoiding shearing forces
DMassaging the graft firmly several times a day
5.Gemiddeld
Why is IV albumin often given after a large-volume paracentesis?
ATo prevent low blood pressure and kidney injury from fluid shifts
BTo replace the clotting factors and platelets lost in the drained fluid
CTo raise the blood glucose after the procedure
DTo treat infection in the ascitic fluid
6.Gemiddeld
Naar welk kruidensupplement wordt vóór een operatie vaak gevraagd omdat het bloedingen kan vergroten?
ACranberry
BKamille
CPepermuntolie
DGinkgo biloba
7.Moeilijk
A patient with diabetes has a foot ulcer. A sterile probe touches bone at the base of the ulcer. What should the nurse suspect?
AA healing category 1 ulcer
BSimple dry skin
COsteomyelitis
DVenous insufficiency
8.Moeilijk
A patient taking IV antibiotics has three unexplained loose stools in 24 hours. What should the nurse do first?
AMove the patient to a bay with other patients to watch them closely
BIsolate the patient and send a stool sample for testing
CWait two days to see if the diarrhoea settles
DGive loperamide after each loose stool and continue as usual
Antwoordenblad
1. B · Removal of part of the colon with an end colostomy and rectal stump
2. D · Latex allergy
3. B · To prevent surgery on the wrong side or site
4. C · Keeping the area still and avoiding shearing forces
5. A · To prevent low blood pressure and kidney injury from fluid shifts
6. D · Ginkgo biloba
7. C · Osteomyelitis
8. B · Isolate the patient and send a stool sample for testing
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