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

Which is a role of the scrub practitioner in theatre?

1. AMoving equipment outside the sterile field only
2. BObtaining the patient's surgical consent
3. CPreparing and passing sterile instruments
4. DGiving the anaesthetic drugs to the patient

Which electrolyte typically falls in refeeding syndrome?

1. APhosphate
2. BChloride
3. CCalcium
4. DSodium

Why is adrenaline sometimes added to a local anaesthetic?

1. AIt makes the patient fall asleep more quickly
2. BIt stops the local anaesthetic causing any allergy
3. CIt turns the local anaesthetic into a general anaesthetic
4. DIt narrows vessels, so the block lasts longer and bleeding is less

Welke bewering over voeding bij milde acute pancreatitis past bij de huidige richtlijnen?

1. APatiënten moeten minstens drie weken nuchter blijven om de alvleesklier te laten rusten
2. BVoedsel wordt achtergehouden totdat het amylase weer normaal is
3. COrale voeding kan vroeg worden hervat, zodra pijn en misselijkheid het toelaten
4. DPatiënten moeten alleen parenterale voeding krijgen

Why are urinary catheters removed as early as possible after surgery?

1. ABecause patients cannot drink normally while a catheter is in place
2. BBecause the catheter stops the bowel working
3. CBecause catheters always cause kidney stones
4. DTo reduce the risk of catheter-associated infection

How are skin staples usually removed from a healed incision?

1. AAlternate staples first, then the rest if the wound holds
2. BThe staples are left in permanently under the skin
3. COnly the staples at each end, leaving the others for good
4. DAll staples at once by pulling each one straight up from the skin

A patient with a leg ulcer has an ABPI of 0,5. The doctor's plan mentions starting strong compression bandages. What should the nurse do?

1. AApply compression but only at night
2. BApply the strongest compression to speed healing
3. CApply compression and elevate the leg above the heart all day
4. DWithhold strong compression and discuss urgent vascular referral

On the day after a Hartmann's procedure, the end colostomy is dark purple to black. What should the nurse do?

1. ARub the stoma to improve its colour
2. BReport it urgently, as the stoma may be necrotic
3. CCut a smaller hole in the pouch
4. DRecord it as normal postoperative bruising and recheck it next week