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

Using the rule of nines in an adult, what percentage is the whole head and neck?

1. A4,5%
2. B1%
3. C18%
4. D9%

Which skin care advice is usual during external beam radiotherapy?

1. AScrub the treated area daily to remove the skin marks
2. BApply a hot water bottle to soothe the area
3. CWash gently with lukewarm water and pat dry
4. DUse perfumed lotions to keep the skin soft

Pain is usually called chronic when it lasts longer than about how long?

1. AThree weeks
2. BThree months
3. CThree days
4. DThree hours

A patient takes co-codamol at home (a combination tablet sold under different names in different countries). Why should the nurse check this before giving regular paracetamol (acetaminophen)?

1. ACo-codamol stops paracetamol from working
2. BParacetamol and codeine cause a severe allergic reaction when combined
3. CCo-codamol must be stopped a week before any paracetamol
4. DIt already contains paracetamol, so overdose could occur

Waarom is het belangrijk wanneer een patiënt die opioïden gebruikt slaperiger wordt?

1. AToenemende sedatie gaat meestal vooraf aan ademhalingsdepressie
2. BSedatie is een onschuldig en te verwachten effect van alle opioïden
3. CSedatie betekent dat nu een hogere dosis nodig is
4. DSedatie betekent dat de pijn nu volledig en veilig onder controle is

Which advice helps a person with diabetes prevent foot ulcers?

1. AWear tight shoes to support the ankles
2. BCheck the feet every day and never walk barefoot
3. CCut corns off at home with a sharp blade
4. DSoak the feet in very hot water every evening

While a central line is disconnected, a patient suddenly becomes breathless with chest pain and hypotension. Air embolism is suspected. What should the nurse do first?

1. AClamp the line, lie the patient left side down, head low; give oxygen
2. BGive the patient a drink and observe for an hour
3. CSit the patient fully upright and flush the line
4. DRemove the central line straight away and leave the site open to the air

A patient with suspected appendicitis says the pain suddenly eased, but an hour later has a temperature of 38,9 °C, a rigid abdomen and a pulse of 118/min. What does this suggest?

1. AA side effect of the analgesia given
2. BPerforation with peritonitis
3. CThe appendicitis has settled by itself
4. DSimple constipation that needs a laxative