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

What is the basic idea of the WHO analgesic ladder?

1. AStep up from non-opioids to weak, then strong, opioids as needed
2. BAlways start with the strongest opioid available and then reduce it slowly
3. CGive analgesia only when the patient asks for it
4. DUse only one drug at a time, never in combination

Welk advies helpt een patiënt met orale mucositis door chemotherapie?

1. AVoorzichtige verzorging met een zachte tandenborstel en spoelen met zoutoplossing
2. BAlle mondverzorging staken tot de pijn is verdwenen
3. CMeerdere keren per dag een mondwater op alcoholbasis gebruiken om te desinfecteren
4. DHete, pittige gerechten om de speekselvloed te stimuleren

Which electrolyte typically falls in refeeding syndrome?

1. ASodium
2. BCalcium
3. CChloride
4. DPhosphate

Which technique is correct when giving a prefilled low molecular weight heparin injection?

1. AInject into a vein in the back of the hand
2. BRub the site firmly afterwards to help absorption
3. CExpel the air bubble first and inject into the deltoid muscle
4. DLeave the air bubble in and inject into a skin fold

Which advice helps a person with diabetes prevent foot ulcers?

1. ACheck the feet every day and never walk barefoot
2. BCut corns off at home with a sharp blade
3. CSoak the feet in very hot water every evening
4. DWear tight shoes to support the ankles

Welk verband is over het algemeen geschikt voor een wond met veel exsudaat?

1. AEen dunne transparante film
2. BDroog gaas dat wekelijks wordt verwisseld
3. CEen hydrogelplaat
4. DEen alginaat of schuimverband

Six hours after surgery, a patient has not passed urine, has lower abdominal discomfort and a bladder scan shows 750 mL. What should the nurse do?

1. AWait another twelve hours before acting
2. BCatheterise as per protocol or prescription
3. CRestrict fluids until the urge returns
4. DGive a diuretic to increase urine flow

Four patients from a house fire arrive in the emergency department. Which should the nurse assess first?

1. ARedness on the backs of both hands, and very anxious
2. BCircumferential chest burns, with breathing becoming shallow and laboured
3. CPartial-thickness burns to both legs, with pain rated 8/10
4. DA blistered forearm burn and a small cut on the knee