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

A patient receiving external beam radiotherapy asks whether they are radioactive. What is correct?

1. ANo, they are not radioactive and can be with family
2. BYes, so they must avoid all contact with children and pregnant women
3. COnly their clothes are radioactive afterwards
4. DYes, for one month after each session

What is brachytherapy?

1. ARadiotherapy from a sealed source placed in or next to the tumour
2. BChemotherapy given slowly into a vein over several hours each day
3. CSurgery to remove a tumour through a small incision
4. DRadiotherapy given by a machine from outside the body

What is portal hypertension?

1. ARaised pressure in the lungs from heart failure
2. BHigh blood pressure in the arteries of the arms and legs
3. CHigh pressure inside the skull
4. DRaised pressure in the portal venous system to the liver

A patient with obstructive sleep apnoea is admitted for surgery. Which instruction is most appropriate?

1. ALie flat on their back for the first night
2. BAvoid sleeping at all on the night after surgery
3. CStop all pain relief for the first three days
4. DBring their CPAP machine to use after surgery

Which nursing care helps a new skin graft take?

1. ARemoving the dressing every hour to look at it
2. BEncouraging the patient to exercise the area straight away
3. CMassaging the graft firmly several times a day
4. DKeeping the area still and avoiding shearing forces

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

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

A few hours after thyroid surgery, a patient's neck swells rapidly and they become short of breath with stridor. What is most likely?

1. ALow blood calcium from the surgery
2. BA haematoma pressing on the airway
3. CAn allergy to the wound dressing
4. DNormal swelling after neck surgery

Een patiënt die uit een brandend huis is gered, heeft een SpO₂ van 99% zonder zuurstof maar hoofdpijn, verwardheid en kersrode lippen. Wat moet de verpleegkundige doen?

1. A100% zuurstof geven via een non-rebreathingmasker en een carboxyhemoglobinespiegel aanvragen
2. BDe zuurstof weghalen, omdat de zuurstofsaturatie volledig normaal is
3. CDe hoofdpijn behandelen met paracetamol en de patiënt een nacht observeren
4. DZuurstof geven met 2 L/min via een neusbril en over een uur opnieuw controleren