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

Why are swabs, sharps and instruments counted during surgery?

1. ATo calculate the cost of the operation
2. BTo prevent items being left inside the patient
3. CTo decide how long the operation took
4. DTo check the stock in the store room

Which diet is usually advised to help prevent symptoms of diverticular disease?

1. AA high-fibre diet with plenty of fluids
2. BA diet based mainly on red meat
3. CA diet with no fruit or vegetables
4. DA low-fibre diet with very little fluid

Which feature is typical of ulcerative colitis?

1. AInflammation of the full thickness of the small bowel
2. BContinuous inflammation starting at the rectum
3. CInflammation limited to the oesophagus
4. DPatchy inflammation anywhere from mouth to anus

Which practice is correct when giving parenteral nutrition through a central line?

1. AGive other IV drugs through the same lumen to save time
2. BDisconnect and reconnect the line without cleaning the hub
3. CLet the bag hang at room temperature for several days
4. DUse a dedicated lumen and strict aseptic technique

How should a patient with facial burns usually be positioned?

1. ALying face down on the pillow to protect the airway
2. BLying flat with the head lower than the feet
3. CIn any position that keeps the face covered
4. DWith the head of the bed raised to reduce swelling

During the first infusion of a monoclonal antibody such as rituximab, which problem is most important to watch for?

1. ASudden hair loss during the infusion
2. BA rise in platelet count above normal
3. CSevere constipation within the first hour of starting the infusion
4. DAn infusion reaction, such as fever, rigors or breathlessness

During burn resuscitation, a 70 kg adult's urine output has been 120 mL/h for 3 hours, and the face and limbs are very oedematous. What should the nurse do?

1. AIncrease the fluid rate to keep the output high
2. BDiscuss reducing the fluid rate with the team
3. CGive a diuretic without discussing it
4. DStop all IV fluids completely and remove the catheter

A patient took a large paracetamol (acetaminophen) overdose 6 hours ago and says they feel completely well. Which statement is correct?

1. ALiver damage after paracetamol occurs only within the first hour or so
2. BFeeling well means the dose was too small to cause harm
3. CTreatment is not needed if the patient has not vomited
4. DLiver damage may still develop, and appears only days later