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

When should pain be reassessed after giving analgesia?

1. ANever, as one assessment is enough
2. BOnly if the patient asks for more analgesia
3. COnly at the next routine observation round the next day
4. DWhen the drug is expected to have taken effect

Why is a temporary loop ileostomy often formed after a low bowel resection?

1. ATo drain urine from the kidneys
2. BTo divert stool while the join further down heals
3. CTo let the patient eat without chewing
4. DTo remove the whole colon permanently in a single operation

What is a keloid scar?

1. AA scar that forms only on the inside of the body
2. BA wound that will not close at all
3. CA flat, pale scar that fades and softens over time
4. DA raised scar that grows beyond the edges of the wound

Which nursing intervention best reduces preoperative anxiety?

1. AExplaining what will happen and answering questions
2. BKeeping family members away until after surgery
3. CTelling the patient that there is nothing to worry about
4. DAvoiding talking about the operation at all

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

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

Why are antimotility drugs such as loperamide avoided in C. difficile infection?

1. AThey cause serious liver failure in most patients who take them
2. BThey make the stool sample test positive falsely
3. CThey kill the normal bowel bacteria
4. DThey may keep toxin in the bowel and risk toxic megacolon

A 62-year-old with known reflux reports burning central chest pain with sweating and breathlessness that began while walking. What should the nurse do first?

1. AAdvise the patient to avoid spicy food at future meals
2. BBook a routine endoscopy for later in the week
3. CGive an antacid and reassess the pain in an hour
4. DRecord a 12-lead ECG and escalate as possible cardiac pain

Een patiënt met cirrose en ascites krijgt nieuwe koorts, drukpijn in de buik en toenemende verwardheid. Aan welke complicatie moet worden gedacht?

1. AEenvoudige obstipatie
2. BAcute pancreatitis
3. CSpontane bacteriële peritonitis
4. DNormaal verloop van ascites