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

What should patients usually be told about hair loss from chemotherapy?

1. AIt is usually temporary, and hair grows back afterwards
2. BIt is always permanent with every drug
3. CIt means the treatment is not working
4. DIt happens with every type of cancer treatment, including surgery

Which urine output is commonly used as the minimum acceptable value for an adult after surgery?

1. AAbout 0.5 mL/kg per hour
2. BAbout 5 mL/kg per hour
3. CAbout 0.05 mL/kg per hour
4. DAbout 50 mL/kg per hour

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

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

छोटी और बड़ी आंत के अवरोध में मुख्य नैदानिक अंतर क्या है?

1. Aकोई नैदानिक अंतर नहीं; केवल CT स्कैन ही उन्हें अलग कर सकता है
2. Bछोटी आंत: जल्दी उल्टी, कम फैलाव; बड़ी आंत: देर से उल्टी, स्पष्ट फैलाव
3. Cछोटी आंत: केवल स्पष्ट फैलाव; बड़ी आंत: न दर्द, न उल्टी और न बिल्कुल कोई फैलाव
4. Dछोटी आंत: बिल्कुल उल्टी नहीं; बड़ी आंत: बिना फैलाव के जल्दी भारी उल्टी

Why is a gastrostomy tube with an internal bumper usually advanced and rotated regularly once the tract has healed?

1. ATo stop the inner bumper becoming buried in the stomach wall
2. BTo remove any feed left in the stomach
3. CTo make the tube longer as the patient grows or gains weight
4. DTo check that the patient is still hungry

A patient received IV morphine 20 minutes ago and the surgical consent form has not been signed. What should the nurse do?

1. AAsk a relative to sign instead of the patient
2. BAsk the patient to sign quickly before they get sleepier
3. CTell the surgeon, as the patient may not be able to consent now
4. DSign the form on the patient's behalf as a witness

A patient with diabetes on continuous enteral feeding and an insulin regimen has the feed stopped for a procedure. What is the main concern?

1. AHypoglycaemia if insulin continues without the feed
2. BDiarrhoea from stopping the feed suddenly
3. CHyperglycaemia because the stomach is empty
4. DRefeeding syndrome from too much glucose

A patient with a sacral pressure ulcer keeps sliding down the bed when the head is raised high. Which advice best reduces shear?

1. AKeep the head of the bed at or below 30° if possible; use slide sheets
2. BRaise the head of the bed to 90° and pull the patient up the bed by the arms
3. CSit the patient upright without any support for the feet
4. DUse a dry sheet and drag the patient up the bed