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

Where is biliary colic typically felt?

1. AIn the groin, after standing for a long time
2. BIn the lower back, after lifting something heavy
3. CIn the right upper abdomen, often after a fatty meal
4. DIn the left lower abdomen, after passing stool

Which tool helps assess pain in a person with advanced dementia who cannot report it?

1. AAn observational scale such as PAINAD or Abbey
2. BThe MUST nutrition score
3. CThe Glasgow Coma Scale, scored every hour
4. DA numerical rating scale from 0 to 10, read out slowly

Which factor most increases the risk of Clostridioides difficile infection?

1. ARecent antibiotic treatment
2. BDrinking bottled water
3. CA diet high in fibre
4. DRegular exercise

Qual è lo scopo dell'intervallo di blocco (lockout) su una pompa PCA?

1. AImpedisce al paziente di ricevere qualsiasi dose di notte
2. BImpedisce una nuova dose prima che l'ultima abbia agito
3. CFa attendere al paziente un giorno tra una dose elevata e l'altra
4. DBlocca la pompa in modo che la siringa non possa essere cambiata

Quale affermazione descrive meglio la tolleranza agli oppioidi?

1. ACol tempo serve una dose più alta per lo stesso effetto
2. BIl farmaco non causa più alcuna stitichezza
3. CIl paziente ha un desiderio compulsivo di assumere più farmaco
4. DIl paziente ha sviluppato un'allergia al farmaco

A dying patient can no longer drink. Which mouth care is most appropriate?

1. ABrushing hard with a stiff toothbrush twice a day
2. BNo mouth care, to avoid disturbing the patient
3. CFrequent, gentle moistening of the mouth and lips
4. DLemon and glycerine swabs every hour to stimulate saliva

Which history should most alert the nurse to a possible latex allergy before surgery?

1. AHay fever every spring since childhood
2. BA rash after taking amoxicillin as a child, with a family history of asthma
3. CItching with bananas, avocado and kiwi, and many operations
4. DFeeling sick after eating shellfish once

On day 3 after admission, a patient with alcohol dependence becomes confused, with hallucinations, sweating, tremor, fever and tachycardia. What is the most likely cause?

1. AAn allergic reaction to hospital food
2. BHepatitis A caught on the ward
3. CDelirium tremens from alcohol withdrawal
4. DNormal anxiety about being in hospital