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

Which signs suggest a surgical site infection?

1. AMild bruising around the wound that is fading a little each day
2. BMild itching as the wound heals
3. CA dry wound edge with a thin scab
4. DIncreasing pain, redness, swelling, heat and pus

Which exercises are usually taught to patients before major surgery?

1. AHolding the breath for as long as possible
2. BLong-distance running every day
3. CDeep breathing, coughing and leg exercises
4. DHeavy weightlifting to build strength

What is dyspepsia?

1. APain in the rectum on opening the bowels
2. BUpper abdominal discomfort, often called indigestion
3. CDifficulty swallowing solid food and tablets
4. DVomiting of blood after a large meal

Which statement about pain relief in acute pancreatitis is correct?

1. APain relief should be withheld until the diagnosis is certain
2. BOpioids must never be used in pancreatitis
3. COnly paracetamol may be given
4. DOpioids can be used, and good analgesia is a priority

Un paziente con emorragia GI superiore acuta ha un'emoglobina normale all'arrivo. Perché può essere fuorviante?

1. AL'emoglobina cala solo dopo un'intera settimana di sanguinamento continuo
2. BL'emoglobina non è influenzata dal sanguinamento intestinale
3. CCala solo dopo che gli spostamenti di liquidi o i liquidi EV diluiscono il sangue
4. DL'emoglobina aumenta sempre all'inizio dopo qualsiasi perdita di sangue

In quale periodo dopo l'intervento è più probabile la deiscenza della ferita?

1. ACirca 5–10 giorni dopo l'intervento
2. BNella prima ora
3. CPiù di un anno dopo l'intervento
4. DSolo durante l'intervento

While a central line is disconnected, a patient suddenly becomes breathless with chest pain and hypotension. Air embolism is suspected. What should the nurse do first?

1. AClamp the line, lie the patient left side down, head low; give oxygen
2. BSit the patient fully upright and flush the line
3. CGive the patient a drink and observe for an hour
4. DRemove the central line straight away and leave the site open to the air

After surgery, a patient keeps asking for analgesia before it is due, watches the clock and rates pain 8/10. What is the most appropriate interpretation?

1. AThe patient is exaggerating, so the pain scores should be ignored for now
2. BPain may be undertreated; reassess and ask for a review of the plan
3. CThe patient is addicted and should have analgesia withheld
4. DThe patient needs only distraction and no change in drugs