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

Where should a diathermy return electrode (plate) be placed?

1. AOver a bony area such as the hip bone
2. BOn clean, dry skin over a well-perfused muscle
3. COn skin covered with spirit-based prep that is still wet
4. DOver a metal joint replacement

What is brachytherapy?

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

Where is biliary colic typically felt?

1. AIn the lower back, after lifting something heavy
2. BIn the right upper abdomen, often after a fatty meal
3. CIn the groin, after standing for a long time
4. DIn the left lower abdomen, after passing stool

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

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

Which patient is at highest risk of refeeding syndrome?

1. AA patient with a normal BMI eating three meals a day
2. BA healthy adult after an overnight fast for minor surgery
3. CAn underweight patient who has eaten very little for 10 days
4. DA patient who missed one lunch because of a scan

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

1. AExpel the air bubble first and inject into the deltoid muscle
2. BLeave the air bubble in and inject into a skin fold
3. CInject into a vein in the back of the hand
4. DRub the site firmly afterwards to help absorption

A patient's long-standing groin hernia has become tender, red and irreducible, and they are vomiting. What should the nurse do?

1. AApply a hot water bottle and give a laxative
2. BAdvise the patient to wear a tight truss and rest
3. CPush the hernia firmly back in, then discharge home
4. DKeep them nil by mouth and arrange urgent surgical review

After a coughing fit, the external mark on a patient's nasogastric tube has moved 10 cm. Feed is due. What should the nurse do?

1. APush the tube back to the original mark and start the feed
2. BDo not use the tube until its position is confirmed by policy
3. CStart the feed at a slow rate and watch for coughing
4. DGive the medicines only and save the feed for later