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

Which signs suggest a surgical site infection?

1. AIncreasing pain, redness, swelling, heat and pus
2. BMild itching as the wound heals
3. CA dry wound edge with a thin scab
4. DMild bruising around the wound that is fading a little each day

What is the Braden scale (or a similar tool such as Waterlow) used for?

1. AScoring the severity of nausea
2. BAssessing the risk of developing pressure ulcers
3. CGrading the depth of a burn wound before dressing it
4. DMeasuring a patient's level of consciousness

फुल-थिकनेस (पूर्ण-मोटाई) जलन के लिए कौन-सी विशेषता विशिष्ट है?

1. Aऐसी त्वचा जो दबाने पर सफ़ेद पड़ती है और कुछ दिनों में ठीक हो जाती है
2. Bनम, गुलाबी त्वचा जिस पर बड़े, दर्दनाक फफोले हैं
3. Cचमड़े जैसी, सफ़ेद या भूरी त्वचा जो दर्दनाक नहीं है
4. Dधूप से झुलसने की तरह लाल, दर्दनाक त्वचा, फफोलों के बिना

Which statement about fatigue during radiotherapy is correct?

1. AIt occurs only after the first session and then disappears completely
2. BIt often builds during the course and can last for weeks
3. CIt means the radiotherapy has failed
4. DIt is caused by the patient becoming radioactive

Which finding suggests a deep tissue pressure injury?

1. AA small scratch on the skin with a little fresh red blood
2. BDry, flaky skin on both shins
3. CIntact skin that is purple or maroon over a bony area
4. DPale pink skin that blanches quickly when pressed

Which is a recognised risk of long-term proton pump inhibitor use?

1. AHypercalcaemia
2. BHypernatraemia
3. CHypomagnesaemia
4. DHyperkalaemia

On day 3 after surgery, a patient has a temperature of 38.6 °C, respiratory rate 24/min, pulse 118/min, BP 92/58 mmHg and new confusion. What should the nurse do?

1. AGive paracetamol and recheck in four hours
2. BEscalate urgently and start the sepsis pathway
3. CEncourage oral fluids and wait for the doctor's round
4. DRecord the observations and continue routine care

On the morning of elective hip surgery, a patient says she took her usual warfarin last night despite being told to stop. What should the nurse do?

1. AInform the surgical and anaesthetic teams, who will check the INR
2. BTell her the surgery must be cancelled for a month
3. CProceed with the usual checklist and say nothing
4. DGive a double dose of vitamin K by mouth without waiting for a prescription