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

Waar wordt de pijn van acute pancreatitis typisch gevoeld?

1. ARechtsonder in de buik, bij de heup
2. BLaag in de rug, afnemend bij plat liggen
3. CIn de bovenbuik (epigastrium), vaak uitstralend naar de rug
4. DIn de linkerschoudertop, erger bij diep ademhalen

A patient receiving external beam radiotherapy asks whether they are radioactive. What is correct?

1. AYes, so they must avoid all contact with children and pregnant women
2. BOnly their clothes are radioactive afterwards
3. CNo, they are not radioactive and can be with family
4. DYes, for one month after each session

Which statement about hepatitis C is correct?

1. AIt is spread mainly by food, and a vaccine is given to babies
2. BIt always clears by itself within two weeks
3. CIt is spread mainly through blood, and there is no vaccine
4. DIt can be treated only with a liver transplant

Which patient is at highest risk of refeeding syndrome?

1. AA patient with a normal BMI eating three meals a day
2. BA patient who missed one lunch because of a scan
3. CAn underweight patient who has eaten very little for 10 days
4. DA healthy adult after an overnight fast for minor surgery

Why are carbohydrate drinks often given before surgery in enhanced recovery programmes?

1. ATo reduce insulin resistance and improve recovery
2. BTo make the bowels open before the operation
3. CTo replace the need for any IV fluids afterwards
4. DTo raise the blood pressure during the anaesthetic

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

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

A patient finds daily wound dressing changes very painful. What is the most effective nursing approach?

1. AChange the dressing less often than the plan says
2. BDo the dressing quickly and give analgesia afterwards
3. CGive analgesia timed so it works during the dressing change
4. DAvoid analgesia so the patient can report any problems during the change

Op dag 6 na een buikoperatie zegt een patiënt dat er iets “meegaf” bij het hoesten, en is er darm zichtbaar in de wond. Wat moet de verpleegkundige onmiddellijk doen?

1. ADe darm voorzichtig terugduwen en de wondranden stevig aan elkaar plakken
2. BDe wond onbedekt laten en de patiënt volledig rechtop in bed zetten
3. CDe patiënt een lichte maaltijd geven om te kalmeren terwijl op het team wordt gewacht
4. DAfdekken met met zoutoplossing bevochtigd steriel verband, de knieën buigen, de chirurg bellen