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

Why is nail varnish or a gel nail often removed from at least one finger before surgery?

1. ABecause varnish raises the patient's blood pressure
2. BSo pulse oximetry readings and nail colour can be assessed accurately
3. CBecause it is a checklist rule with no clinical reason
4. DBecause the varnish can make the anaesthetic gas less effective

What is the first phase of wound healing?

1. AMaturation
2. BEpithelialisation
3. CHaemostasis
4. DProliferation

What is brachytherapy?

1. ARadiotherapy given by a machine from outside the body
2. BRadiotherapy from a sealed source placed in or next to the tumour
3. CSurgery to remove a tumour through a small incision
4. DChemotherapy given slowly into a vein over several hours each day

Which is a usual benefit of laparoscopic over open abdominal surgery?

1. ALess pain and a shorter hospital stay
2. BNo need for a general anaesthetic ever
3. CLarger wounds that heal faster
4. DNo risk of any complications at all

After a percutaneous liver biopsy, how is the patient usually positioned at first?

1. ASitting upright, with the legs over the edge of the bed
2. BOn the right side, to press on the puncture site
3. COn the left side, to drain the liver
4. DProne, with the head lower than the feet

Perché le compresse a rilascio modificato o gastroresistenti possono non funzionare bene in un paziente con ileostomia?

1. AIl transito rapido fa sì che possano passare prima di rilasciare il farmaco
2. BGli enzimi dell'ileostomia distruggono ogni tipo di farmaco orale
3. CLa stomia assorbe il farmaco troppo rapidamente nel sangue
4. DI pazienti con ileostomia non possono assumere alcun farmaco per via orale

A patient with advanced cancer who has capacity decides to stop chemotherapy. The family insists that treatment must continue. What should the nurse do?

1. ASupport the patient's decision and help the team talk with the family
2. BTell the patient that stopping is not allowed
3. CAsk the family to sign a new consent form
4. DContinue treatment because the family has asked for it

A patient with a leg ulcer has an ABPI of 0,5. The doctor's plan mentions starting strong compression bandages. What should the nurse do?

1. AApply compression but only at night
2. BApply compression and elevate the leg above the heart all day
3. CApply the strongest compression to speed healing
4. DWithhold strong compression and discuss urgent vascular referral