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

How is parenteral nutrition given?

1. ABy mouth as a thick supplement drink
2. BInto a vein, usually through a central line
3. CThrough a nasogastric tube into the stomach
4. DInto the muscle of the thigh

Welke voorzorgsmaatregel is het belangrijkst om infectie te verminderen bij een patiënt met neutropenie?

1. AStrikte handhygiëne door iedereen
2. BAntibiotica voor elke bezoeker
3. CDe patiënt in bed houden
4. DDe gordijnen de hele dag gesloten houden

Why are pressure garments worn after burns heal?

1. ATo keep the patient warm in winter
2. BTo hide the scars from other people
3. CTo prevent infection of the healed skin
4. DTo reduce raised, thick scarring

How is the height of an epidural sensory block usually checked?

1. AChecking the colour of the patient's urine
2. BTesting sensation to cold with ice or a cold spray
3. CTapping the knee with a reflex hammer and recording the score
4. DMeasuring the patient's blood glucose level

A dying patient can no longer drink. Which mouth care is most appropriate?

1. ANo mouth care, to avoid disturbing the patient
2. BBrushing hard with a stiff toothbrush twice a day
3. CLemon and glycerine swabs every hour to stimulate saliva
4. DFrequent, gentle moistening of the mouth and lips

Which diet is usually recommended for a patient with cirrhosis and hepatic encephalopathy?

1. AA very low-protein diet for the rest of their life to lower ammonia
2. BOnly clear fluids for several weeks
3. CNo food at all until the confusion settles
4. DNormal protein and enough calories, with a late-evening snack

A patient admitted for an elective general anaesthetic mentions that they ate a slice of toast 3 hours ago. What should the nurse do?

1. ASay nothing, since toast is a light food
2. BAsk the patient to try to vomit to empty the stomach
3. CGive a large drink to wash the food through
4. DInform the anaesthetist, as surgery may be delayed

On day 2 of nasogastric feeding, a severely malnourished patient becomes weak and breathless with ankle swelling. Phosphate is 0,4 mmol/L. What is most likely?

1. AAn allergy to the feed formula
2. BRefeeding syndrome
3. CToo little calorie intake
4. DNormal adjustment to the new feed