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

Why is a feeding tube flushed with water before and after giving medicines?

1. ATo clean the stomach before the next meal
2. BTo warm the tube so it is more comfortable
3. CTo keep it clear and stop drugs mixing with feed
4. DTo check that the patient is not thirsty

सर्जरी के लिए सूचित सहमति प्राप्त करने की ज़िम्मेदारी किसकी है?

1. Aप्रक्रिया करने वाला चिकित्सक, या प्रशिक्षित प्रतिनिधि
2. Bवार्ड क्लर्क जो मरीज़ की भर्ती की व्यवस्था करता है
3. Cमरीज़ का निकटतम संबंधी, या मौजूद सबसे करीबी रिश्तेदार
4. Dउस समय खाली कोई भी कर्मचारी

What is slough in a wound?

1. ARed, healthy granulation tissue
2. BYellow, soft, stringy dead tissue
3. CPink, new skin at the wound edge
4. DA thick, hard black crust

Which advice helps a patient with haemorrhoids?

1. ATake a codeine-based painkiller every day
2. BEat less fibre so that stools are smaller
3. CSit on the toilet for long periods to empty fully
4. DEat more fibre, drink enough fluid and avoid straining

Which long-term effect must be monitored in patients receiving anthracyclines such as doxorubicin?

1. APermanent high blood glucose
2. BDamage to the heart muscle
3. CLoss of the sense of smell
4. DExcess growth of body hair

Which is a recognised cause of anaphylaxis during surgery?

1. AChlorhexidine skin preparation
2. BA warmed blanket
3. CSterile normal saline
4. DThe patient's own blood from cell salvage

A dying patient has noisy, rattling breathing. The patient seems unaware, but the family is distressed. What is the best nursing approach?

1. AReposition, explain the cause and give prescribed drugs if needed
2. BAsk the family to leave the room
3. CGive large volumes of IV fluid to loosen and thin the secretions
4. DPerform deep suction every hour

Which new prescription for a patient with cirrhosis should the nurse question?

1. AThiamine supplements
2. BLactulose to keep the bowels open
3. CSpironolactone for ascites
4. DRegular ibuprofen for back pain