उत्तरों सहित मेड-सर्ज: पाचन, शल्य-पूर्व/पश्चात और कैंसर वर्कशीट

Which tool helps assess pain in a person with advanced dementia who cannot report it?

1. AThe MUST nutrition score
2. BThe Glasgow Coma Scale, scored every hour
3. CA numerical rating scale from 0 to 10, read out slowly
4. DAn observational scale such as PAINAD or Abbey

Using the rule of nines in an adult, what percentage is the whole front of the trunk?

1. A18%
2. B27%
3. C36%
4. D9%

Which finding is typical of a perforated peptic ulcer?

1. ASudden severe abdominal pain with a rigid, board-like abdomen
2. BA soft, non-tender abdomen with loud, frequent bowel sounds
3. CPainless bright red bleeding from the rectum over several days
4. DSlow onset of mild pain relieved fully by eating

Which complication is more typical of Crohn's disease than of ulcerative colitis?

1. AInflammation limited to the rectal lining
2. BFistulas between the bowel and other organs
3. CDisease that is cured by removing the colon
4. DBleeding only from the rectum

Why is a urinary catheter usually inserted in a patient with a major burn?

1. AHourly urine output guides fluid resuscitation
2. BThe catheter prevents wound infection
3. CBurns always cause the bladder to rupture
4. DIt is needed to give medicines into the bladder

Which statement about moist wound healing is correct?

1. AA moist, not wet, wound bed helps cells move and heal faster
2. BA wet wound bed always prevents infection
3. CWounds should be soaked in water for hours every day
4. DWounds heal fastest when left to dry out and form a scab

Four patients are on a gastroenterology ward. Which should the nurse see first?

1. AA patient with an ileostomy waiting to change the pouch
2. BA patient with cirrhosis who is newly confused and drowsy
3. CA patient with GORD who wants an antacid
4. DA patient with stable ulcerative colitis asking about diet

A patient with long-standing chronic pancreatitis now has weight loss, thirst and passing large volumes of urine. What should the nurse check first?

1. APeak expiratory flow
2. BAbdominal girth
3. CSerum amylase level
4. DCapillary blood glucose