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

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Naam: ____________________   Datum: ____________

1.Makkelijk

Wat is neutropenie?

  1. AEen laag aantal rode bloedcellen
  2. BEen hoog aantal witte bloedcellen
  3. CEen laag aantal neutrofielen
  4. DEen laag aantal bloedplaatjes
2.Makkelijk

In widely used guidelines, which core temperature defines perioperative hypothermia?

  1. ABelow 37,5 °C
  2. BBelow 36,0 °C
  3. CBelow 38,0 °C
  4. DBelow 32,0 °C
3.Makkelijk

What is a PICC line?

  1. AA central venous catheter inserted through a vein in the arm
  2. BA short cannula in a vein on the back of the hand
  3. CA tube inserted into the stomach through the abdomen
  4. DA catheter placed in the bladder through the lower abdominal wall
4.Gemiddeld

Which practice is correct when giving parenteral nutrition through a central line?

  1. ALet the bag hang at room temperature for several days
  2. BUse a dedicated lumen and strict aseptic technique
  3. CGive other IV drugs through the same lumen to save time
  4. DDisconnect and reconnect the line without cleaning the hub
5.Gemiddeld

Aspirate from a nasogastric tube has a pH of 7. What should the nurse do?

  1. AFlush with 50 mL of air and start the feed
  2. BStart the feed slowly and watch the patient closely for coughing
  3. CDo not use it; re-test later or arrange an X-ray as per policy
  4. DGive the medicines but not the feed
6.Gemiddeld

Which group of findings suggests obstruction of the bile duct?

  1. APale urine, dark stools and a flapping tremor
  2. BRed urine, black stools and a high blood glucose
  3. CNormal skin colour with diarrhoea and fever
  4. DJaundice, dark urine, pale stools and itching
7.Moeilijk

On the day after a Hartmann's procedure, the end colostomy is dark purple to black. What should the nurse do?

  1. ACut a smaller hole in the pouch
  2. BReport it urgently, as the stoma may be necrotic
  3. CRecord it as normal postoperative bruising and recheck it next week
  4. DRub the stoma to improve its colour
8.Moeilijk

A patient with lung cancer becomes hypotensive and breathless, with distended neck veins and quiet heart sounds. What should the nurse suspect?

  1. AA side effect of anti-sickness drugs
  2. BSuperior vena cava obstruction from the tumour
  3. CCardiac tamponade from a pericardial effusion
  4. DHypercalcaemia of malignancy from bone metastases

Antwoordenblad

  1. 1. C · Een laag aantal neutrofielen
  2. 2. B · Below 36,0 °C
  3. 3. A · A central venous catheter inserted through a vein in the arm
  4. 4. B · Use a dedicated lumen and strict aseptic technique
  5. 5. C · Do not use it; re-test later or arrange an X-ray as per policy
  6. 6. D · Jaundice, dark urine, pale stools and itching
  7. 7. B · Report it urgently, as the stoma may be necrotic
  8. 8. C · Cardiac tamponade from a pericardial effusion

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