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

What is abdominal paracentesis?

1. ARemoval of the gallbladder through several small abdominal incisions
2. BDraining fluid from the abdominal cavity with a needle or drain
3. CInjection of dye into a vein in the arm
4. DA camera test of the lining of the large bowel

Which electrolyte typically falls in refeeding syndrome?

1. ACalcium
2. BSodium
3. CPhosphate
4. DChloride

Which symptom is typical of haemorrhoids?

1. AVomiting of dark, coffee-ground material
2. BBlack, tarry stools with a strong smell
3. CYellow skin, dark urine and pale stools that float in the toilet
4. DBright red blood on the paper after opening the bowels

Which treatment often relieves pain from a bone metastasis?

1. AComplete bed rest for a month
2. BPalliative radiotherapy to the area
3. CIron supplements by mouth for several months
4. DA diet low in calcium and vitamin D

A routine wound swab grows bacteria, but the wound shows no signs of infection. What does this usually mean?

1. AThe patient needs IV antibiotics straight away, whatever the wound looks like
2. BThe wound must be closed with sutures again
3. CThe swab result means the wound is infected
4. DThe wound is colonised; antibiotics are not usually needed

How can low-dose opioids help a patient with breathlessness from advanced cancer?

1. AThey open the airways like an inhaler
2. BThey cure the underlying lung disease
3. CThey increase the oxygen level in the blood
4. DThey reduce the feeling of breathlessness

A competent adult who is a Jehovah's Witness refuses blood transfusion before major surgery. What should the nurse do?

1. ACancel the surgery without discussing it
2. BAsk the family to override the decision
3. CRespect the decision, document it and inform the team
4. DPlan to transfuse secretly during the operation if it becomes needed

During a nasogastric feed, a patient starts coughing and SpO₂ falls from 96% to 89%. What should the nurse do first?

1. AStop the feed and assess the airway and breathing
2. BLay the patient flat to help them rest
3. CGive a drink of water to clear the throat
4. DIncrease the feed rate to finish it sooner