Scheda di esercizi di Area medico-chirurgica: gastrointestinale, perioperatoria e oncologica con soluzioni

Which feature is typical of an arterial leg ulcer?

1. AA blister on the heel with plenty of hair growth
2. BA painful, punched-out wound on a cold, pale foot
3. CA shallow, wet wound around the ankle with warm, swollen skin
4. DA painless wound on the shin with normal pulses

Which adverse effects are linked with NSAIDs such as ibuprofen?

1. AHair loss and low white cell count
2. BConstipation and pinpoint pupils
3. CWeight gain and high potassium only
4. DStomach bleeding and kidney injury

What is the purpose of anti-embolism stockings for surgical patients?

1. ATo lower the blood pressure after surgery
2. BTo prevent pressure ulcers on the heels
3. CTo reduce the risk of deep vein thrombosis
4. DTo keep the legs warm in theatre

After a spinal anaesthetic, which nursing check is particularly important?

1. APupil reaction every five minutes for the next full day
2. BReturn of leg sensation and movement, and passing urine
3. CBlood glucose every 15 minutes overnight
4. DPeak flow before and after each meal

Why do patients usually have a dental review before radiotherapy to the head and neck?

1. AThe dentist gives the radiotherapy
2. BIt causes dry mouth and raises the risk of decay and jaw damage
3. CRadiotherapy can only be given once all the teeth have been removed
4. DTeeth block the radiation beam completely

Un paziente con condotto ileale (urostomia) è preoccupato per il muco nelle urine. Qual è la spiegazione corretta?

1. AMostra che si sta sviluppando un'occlusione intestinale
2. BÈ segno di un calcolo renale e va segnalato oggi stesso
3. CSignifica che la stomia sta fallendo e serve un intervento
4. DÈ normale, perché il condotto è ricavato dal piccolo intestino

A patient on immunotherapy for melanoma has six watery stools a day and abdominal cramps. What should the nurse do?

1. AGive loperamide and review next week
2. BAdvise eating more fibre and fruit to firm up the stools
3. CEscalate urgently, as immune-related colitis is likely
4. DReassure that diarrhoea is normal and harmless

A patient on modified-release morphine for cancer pain has needed four breakthrough doses every day for several days. What should the nurse do?

1. AGive all breakthrough doses at the same time
2. BReport it, as the regular background dose may need review
3. CStop the breakthrough doses to reduce opioid use
4. DTell the patient to put up with the pain between doses