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

Which is a main benefit of early mobilisation after surgery?

1. ALess need to check the wound at all
2. BFaster absorption of the anaesthetic gas
3. CIt prevents all postoperative pain
4. DLower risk of chest infection and blood clots

What is dumping syndrome after gastric surgery?

1. ASlow emptying of the stomach causing food to stay for days
2. BRapid passage of food from the stomach into the small bowel
3. CLeakage of bile from the liver into the abdominal cavity
4. DReflux of bowel contents back into the oesophagus

Which adverse effects are linked with NSAIDs such as ibuprofen?

1. AWeight gain and high potassium only
2. BHair loss and low white cell count
3. CStomach bleeding and kidney injury
4. DConstipation and pinpoint pupils

Which is a recognised cause of anaphylaxis during surgery?

1. ASterile normal saline
2. BA warmed blanket
3. CThe patient's own blood from cell salvage
4. DChlorhexidine skin preparation

Which measure helps reduce the risk of delirium in an older surgical patient?

1. AMoving them to a new bed space each night to reduce boredom
2. BKeeping the room dark during the day
3. CMaking sure they have their glasses and hearing aids
4. DGiving a sleeping tablet every night

A patient is starting regular oral morphine. Which bowel advice is most appropriate?

1. AStart a regular laxative at the same time
2. BWait until there has been no stool for a week
3. CStop eating fibre completely
4. DTake a bulk-forming laxative only with very little water

A patient with a severe flare of ulcerative colitis develops abdominal distension, fever and tachycardia, and the stool frequency has dropped. What should the nurse suspect?

1. AThe flare is getting better
2. BSimple constipation from low intake
3. CToxic megacolon
4. DHaemorrhoids caused by diarrhoea

A patient on immunotherapy for melanoma has six watery stools a day and abdominal cramps. What should the nurse do?

1. AGive loperamide and review next week
2. BReassure that diarrhoea is normal and harmless
3. CAdvise eating more fibre and fruit to firm up the stools
4. DEscalate urgently, as immune-related colitis is likely