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

What is lymphoedema?

1. ASwelling from poor lymph drainage, for example after node removal
2. BInflammation of the lymph nodes in the neck and armpits from a virus
3. CSwelling from a broken bone in the arm
4. DFluid in the lungs from heart failure

Which tool helps assess pain in a person with advanced dementia who cannot report it?

1. AThe Glasgow Coma Scale, scored every hour
2. BAn observational scale such as PAINAD or Abbey
3. CThe MUST nutrition score
4. DA numerical rating scale from 0 to 10, read out slowly

What is healing by secondary intention?

1. AA wound closed a few days after it was left open
2. BA wound that heals without any new tissue
3. CA wound closed with sutures straight after surgery
4. DA wound left open that heals from the base upwards

Waarom werken tabletten met gereguleerde afgifte of maagsapresistente tabletten mogelijk niet goed bij een patiënt met een ileostoma?

1. APatiënten met een ileostoma kunnen geen orale medicatie gebruiken
2. BDe enzymen van het ileostoma vernietigen elk type orale medicatie
3. CHet stoma neemt het geneesmiddel veel te snel op in het bloed
4. DSnelle passage betekent dat de tablet kan passeren voordat het geneesmiddel vrijkomt

Which infection control measure is correct for a patient with C. difficile diarrhoea?

1. AA single room with its own toilet, and soap-and-water handwashing
2. BA shared bay, as long as alcohol gel is used after every contact
3. CNo special measures once antibiotics have started
4. DA face mask for the patient and visitors only

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

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

Which patient has the highest risk of postoperative nausea and vomiting?

1. AA smoker who has never had nausea after surgery
2. BA non-smoking woman with motion sickness who will need opioids
3. CA male smoker having a short procedure without opioids
4. DA man with no history of nausea having local anaesthetic only

A nurse teaches a patient going home between chemotherapy cycles. Which statement shows a need for further teaching?

1. A"I'll wash my hands often and avoid people with infections."
2. B"If I get a fever, I'll take paracetamol and see if it settles."
3. C"I'll check my temperature whenever I feel hot, shivery or unwell."
4. D"I'll keep the emergency number and call if I feel shivery."