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

Which is an example of a non-drug method of pain relief?

1. AA lidocaine patch
2. BRelaxation and distraction
3. CA morphine injection into the thigh
4. DAn ibuprofen tablet with food

What is the typical main symptom of gastro-oesophageal reflux disease (GORD)?

1. ACramping pain low in the left side of the abdomen
2. BBurning pain behind the breastbone (heartburn)
3. CPainless yellowing of the skin and eyes
4. DSharp pain in the right shoulder after meals

How is the length of a nasogastric tube usually estimated before insertion?

1. AFrom the chin to the umbilicus in a straight line
2. BFrom the mouth to the knee on the same side of the body
3. CFrom the nose tip to the earlobe, then to the xiphisternum
4. DAny length, as long as the whole tube is inserted

What is the most important safety point about misoprostol?

1. AIt causes severe constipation in most patients
2. BIt must be given only by deep intramuscular injection
3. CIt strongly raises blood glucose in people with diabetes
4. DIt can cause miscarriage and must not be used in pregnancy

Which check is routinely made for a patient with a burn wound?

1. AMeasles vaccination status
2. BVisual acuity in both eyes
3. CBlood group of the next of kin
4. DTetanus immunisation status

How does sucralfate help a peptic ulcer heal?

1. AIt blocks histamine receptors on parietal cells
2. BIt forms a protective coating over the ulcer base
3. CIt speeds up emptying of the stomach
4. DIt kills H. pylori in the stomach lining

On day 5 after a major burn, a patient is confused, with a temperature of 39.2 °C, tachycardia, and an offensive, discoloured wound. What should the nurse suspect?

1. ADelirium from boredom on the ward
2. BThe normal hypermetabolic response alone
3. CBurn wound infection with sepsis
4. DAn allergy to the dressing only

After a high-voltage electrical injury, a patient's urine is dark red-brown. What does this suggest and what is the usual aim?

1. AA urinary infection; send a sample and wait for the result
2. BBleeding from the bladder; stop all fluids
3. CMyoglobin from muscle damage; a higher urine output target
4. DNormal concentrated urine; restrict fluids