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

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Naam: ____________________   Datum: ____________

1.Makkelijk

Which urine output is commonly used as the minimum acceptable value for an adult after surgery?

  1. AAbout 50 mL/kg per hour
  2. BAbout 0,05 mL/kg per hour
  3. CAbout 0,5 mL/kg per hour
  4. DAbout 5 mL/kg per hour
2.Makkelijk

What does the grade of a cancer describe?

  1. AThe patient's age when diagnosed
  2. BHow abnormal the cancer cells look under a microscope
  3. CHow far the cancer has spread in the body
  4. DHow many treatments the patient has had so far, including surgery
3.Makkelijk

How is parenteral nutrition given?

  1. AInto a vein, usually through a central line
  2. BThrough a nasogastric tube into the stomach
  3. CInto the muscle of the thigh
  4. DBy mouth as a thick supplement drink
4.Gemiddeld

After a spinal anaesthetic, which nursing check is particularly important?

  1. APeak flow before and after each meal
  2. BPupil reaction every five minutes for the next full day
  3. CBlood glucose every 15 minutes overnight
  4. DReturn of leg sensation and movement, and passing urine
5.Gemiddeld

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

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

Why are accurate fluid balance charts kept after major surgery?

  1. ATo detect dehydration, fluid overload or kidney problems early
  2. BTo check how far the patient has walked and how often they get out of bed
  3. CTo record when visitors come and go
  4. DTo decide which meal the patient will have next
7.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. AHypoglycaemia from the glucose
  2. BHypernatraemia from too much salt
  3. CHyponatraemia from hypotonic fluids
  4. DNormal confusion after any anaesthetic
8.Moeilijk

Just after extubation in recovery, a patient develops a high-pitched noise on breathing in, with falling SpO₂. What should the nurse do first?

  1. AGive an opioid to calm the patient's breathing and reduce anxiety
  2. BSit the patient up and give a drink of water
  3. CWait a few minutes to see if it passes
  4. DCall for help, give 100% oxygen and use a jaw thrust

Antwoordenblad

  1. 1. C · About 0,5 mL/kg per hour
  2. 2. B · How abnormal the cancer cells look under a microscope
  3. 3. A · Into a vein, usually through a central line
  4. 4. D · Return of leg sensation and movement, and passing urine
  5. 5. B · The medicine chart, including laxatives and antibiotics
  6. 6. A · To detect dehydration, fluid overload or kidney problems early
  7. 7. C · Hyponatraemia from hypotonic fluids
  8. 8. D · Call for help, give 100% oxygen and use a jaw thrust

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