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

Which finding is typical of a perforated peptic ulcer?

1. ASudden severe abdominal pain with a rigid, board-like abdomen
2. BA soft, non-tender abdomen with loud, frequent bowel sounds
3. CSlow onset of mild pain relieved fully by eating
4. DPainless bright red bleeding from the rectum over several days

How should a patient be positioned during enteral tube feeding?

1. ALying completely flat on the back with one pillow
2. BWith the head lower than the feet
3. CWith the head of the bed raised to at least 30–45°
4. DLying on the stomach with the head turned to one side

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

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

सिरोसिस वाला मरीज़ हेपेटिक एन्सेफ़ैलोपैथी के लिए लैक्टुलोज़ लेता है। सामान्य लक्ष्य क्या है?

1. Aदिन में दस या अधिक पानी जैसे मल
2. Bदिन में दो से तीन मुलायम मल
3. Cहर सप्ताह एक कठोर मल
4. Dकई दिनों तक कोई मल त्याग नहीं

मल्टीमोडल एनाल्जीसिया के बारे में कौन-सा कथन सही है?

1. Aएक समय में केवल एक ही दर्द-निवारक दिया जाना चाहिए
2. Bअधिक प्रभाव के लिए कई अलग-अलग ओपिऑइड मिलाए जाते हैं
3. Cयह केवल दीर्घकालिक दर्द के लिए उपयोग होने वाली विधि है
4. Dओपिऑइड की ज़रूरत घटाने के लिए भिन्न क्रियाओं वाली दवाएँ मिलाई जाती हैं

A patient on enteral feeding develops diarrhoea. What should the nurse review first?

1. AThe patient's mobility aids and walking distance
2. BThe patient's eye drops and skin creams
3. CThe medicine chart, including laxatives and antibiotics
4. DThe colour of the feeding bag label

On the ward after surgery, a patient has a red, blistered area of skin under where the diathermy plate was. What should the nurse do?

1. AIgnore it because skin changes after surgery are normal and expected to fade
2. BApply a hot water bottle to improve the circulation
3. CTreat it as a possible burn, report it and complete an incident form
4. DWash it with alcohol and leave it uncovered

During a nerve block, a patient reports a metallic taste and ringing in the ears, then has a seizure. Besides calling for help and supporting the airway, which specific treatment is given?

1. AIV lipid emulsion
2. BIV glucose 50%
3. CIV naloxone
4. DIV dantrolene