Werkblad Medisch-chirurgisch: maag-darmstelsel, perioperatief en oncologie met antwoorden
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Naam: ____________________ Datum: ____________
1.Makkelijk
What is the main serious risk of paracetamol (acetaminophen) overdose?
ALiver damage
BStomach bleeding
CHearing loss
DRespiratory depression
2.Makkelijk
Which exercises are usually taught to patients before major surgery?
AHeavy weightlifting to build strength
BLong-distance running every day
CDeep breathing, coughing and leg exercises
DHolding the breath for as long as possible
3.Makkelijk
Where are venous leg ulcers usually found?
AOn the tips of the toes and between the toes
BOn the front of the thigh
CAround the inner ankle, in the gaiter area
DOn the sole of the foot under the heel
4.Gemiddeld
Which nursing intervention best reduces preoperative anxiety?
AExplaining what will happen and answering questions
BAvoiding talking about the operation at all
CTelling the patient that there is nothing to worry about
DKeeping family members away until after surgery
5.Gemiddeld
Which statement correctly describes physical dependence on opioids?
AThe drug no longer has any side effects
BWithdrawal occurs if the drug is stopped suddenly
CThe patient always craves the drug and misuses it despite harm
DThe patient is allergic to opioids
6.Gemiddeld
What is the main treatment for a venous leg ulcer with an adequate arterial supply?
ACompression therapy
BSurgery to amputate the limb
CStrong oral antibiotics for all ulcers
DKeeping the leg hanging down all day
7.Moeilijk
An older patient on regular opioids has small amounts of liquid stool leaking all day, but has not had a formed bowel movement for 6 days. What is the most likely cause?
AFaecal impaction with overflow
BA flare of ulcerative colitis
CNormal stool pattern on opioids
DAcute infective gastroenteritis
8.Moeilijk
A nurse teaches a patient after a colonoscopy with polyp removal. Which statement shows a need for further teaching?
A"Some wind and bloating today is expected."
B"I should report a fever or a swollen, painful abdomen."
C"I'll report heavy bleeding from my bottom."
D"Severe abdominal pain is normal for a week afterwards."
Antwoordenblad
1. A · Liver damage
2. C · Deep breathing, coughing and leg exercises
3. C · Around the inner ankle, in the gaiter area
4. A · Explaining what will happen and answering questions
5. B · Withdrawal occurs if the drug is stopped suddenly
6. A · Compression therapy
7. A · Faecal impaction with overflow
8. D · "Severe abdominal pain is normal for a week afterwards."
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