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

Which drug group is commonly used to prevent venous thromboembolism after surgery?

1. ANon-steroidal anti-inflammatory drugs
2. BLoop diuretics
3. CLow molecular weight heparins
4. DProton pump inhibitors

Why is adrenaline sometimes added to a local anaesthetic?

1. AIt stops the local anaesthetic causing any allergy
2. BIt turns the local anaesthetic into a general anaesthetic
3. CIt narrows vessels, so the block lasts longer and bleeding is less
4. DIt makes the patient fall asleep more quickly

Wat is enhanced recovery after surgery (ERAS)?

1. AEen methode om alle geneesmiddelen via de aderen te geven
2. BEen regel dat patiënten drie dagen in bed moeten blijven
3. CEen operatietechniek waarbij helemaal geen narcose nodig is
4. DEen zorgpad dat patiënten helpt sneller te herstellen na een operatie

Why is the "whoosh" test no longer used to check nasogastric tube position?

1. AThe test is far too painful for most patients to tolerate
2. BIt needs an X-ray machine at the bedside
3. CThe air always makes the tube block
4. DAir can be heard even when the tube is in the lung

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

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

Which advice helps prevent dumping syndrome after gastrectomy?

1. AThree large meals a day with plenty of sweet drinks with each meal
2. BA high-sugar diet with fruit juice to keep energy levels up
3. CSmall, frequent meals low in simple sugars, with fluids between meals
4. DSit upright and walk briskly straight after every meal

A patient admitted for an elective general anaesthetic mentions that they ate a slice of toast 3 hours ago. What should the nurse do?

1. AGive a large drink to wash the food through
2. BAsk the patient to try to vomit to empty the stomach
3. CSay nothing, since toast is a light food
4. DInform the anaesthetist, as surgery may be delayed

Tijdens een intraveneus vincristine-infuus via een perifere canule meldt de patiënt een brandend gevoel en is de plek gezwollen. Wat moet de verpleegkundige als eerste doen?

1. AHet infuus stoppen, de canule laten zitten om te aspireren en het beleid volgen
2. BDe canule direct verwijderen en het gebied masseren om het middel te verspreiden
3. CHet infuus langzamer voortzetten en een ijskompres op de plek leggen
4. DDe canule doorspoelen met zoutoplossing om het resterende middel de ader in te duwen