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

How is the length of a nasogastric tube usually estimated before insertion?

1. AAny length, as long as the whole tube is inserted
2. BFrom the nose tip to the earlobe, then to the xiphisternum
3. CFrom the chin to the umbilicus in a straight line
4. DFrom the mouth to the knee on the same side of the body

Which drug is commonly used to prevent or treat postoperative nausea and vomiting?

1. AOndansetron
2. BFurosemide
3. CAtorvastatin
4. DAmlodipine

Which finding describes a category 1 pressure ulcer?

1. AA shallow open wound with a red-pink base and no slough
2. BA wound covered with thick black eschar
3. CAn open wound with visible bone at the base
4. DIntact skin with redness that does not blanch

Why does a patient need lifelong vitamin B₁₂ injections after total gastrectomy?

1. AThe liver can no longer store any vitamins
2. BVitamin B₁₂ is lost in the urine after the surgery
3. CThe small bowel stops absorbing all nutrients
4. DIntrinsic factor from the stomach is no longer made

Why should metoclopramide not be used for nausea in mechanical bowel obstruction?

1. AIt blocks the effect of all opioids
2. BIt increases gut movement against the blockage
3. CIt makes the bowel stop moving completely
4. DIt always causes severe diarrhoea

Why is the "whoosh" test no longer used to check nasogastric tube position?

1. AIt needs an X-ray machine at the bedside
2. BThe air always makes the tube block
3. CThe test is far too painful for most patients to tolerate
4. DAir can be heard even when the tube is in the lung

A nurse teaches a patient after a laparoscopic fundoplication for reflux. Which statement shows a need for further teaching?

1. A"I'll eat soft, moist food at first and chew it well."
2. B"Fizzy drinks will help me bring up wind after meals."
3. C"Some difficulty swallowing can happen in the early weeks."
4. D"I should eat smaller meals for a while after the operation."

An incontinent patient has diffuse, shiny, red and broken skin in the natal cleft and buttocks with irregular edges, not over a bony prominence. What is most likely?

1. AAn arterial ulcer caused by poor circulation
2. BIncontinence-associated dermatitis
3. CA category 4 pressure ulcer over the sacrum
4. DA full-thickness burn