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

Usando la regola del nove in un adulto, quale percentuale della superficie corporea è un intero braccio?

1. A36%
2. B18%
3. C1%
4. D9%

What is the first aid for a dry chemical powder on the skin?

1. AAdd vinegar to neutralise it at once
2. BRub it in with a wet cloth to spread it thinly over the skin
3. CBrush off the powder, then irrigate with plenty of water
4. DCover it with a tight dressing and wait

What is a hiatus hernia?

1. ABowel bulging through a weak point in the muscle at the umbilicus
2. BA bulge of bowel through an old surgical scar
3. CPart of the bowel pushing through the groin into the scrotum
4. DPart of the stomach pushing up through the diaphragm

A patient on warfarin is booked for elective surgery with a high bleeding risk. What is usual practice?

1. ATake the usual dose on the morning of surgery
2. BStop it about 5 days before and check the INR
3. CSwap to aspirin on the morning of surgery
4. DDouble the dose for a week so the blood is ready for surgery

Which group of findings suggests obstruction of the bile duct?

1. AJaundice, dark urine, pale stools and itching
2. BRed urine, black stools and a high blood glucose
3. CPale urine, dark stools and a flapping tremor
4. DNormal skin colour with diarrhoea and fever

Which is a recognised side effect of ondansetron?

1. AHair loss
2. BHearing loss
3. CSevere hypoglycaemia
4. DConstipation

Two days after a PEG insertion, a patient reports pain on feeding, and feed is leaking around the site. What should the nurse do?

1. AStop the feed at once and seek urgent medical advice
2. BGive the next medicines through the tube as usual
3. CIncrease the feed rate to improve nutrition
4. DContinue feeding and apply a thicker dressing

An older patient with atrial fibrillation has sudden severe abdominal pain, but the abdomen is soft with little tenderness. Lactate is raised. What should the nurse suspect?

1. ASimple constipation
2. BMuscle strain from coughing
3. CAcute mesenteric ischaemia
4. DIrritable bowel syndrome