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

Perché in un'occlusione intestinale si inserisce spesso un sondino nasogastrico?

1. APer somministrare lassativi che risolvano l'occlusione
2. BPer decomprimere lo stomaco e ridurre il vomito
3. CPer somministrare direttamente oltre l'ostruzione un'alimentazione ricca di fibre
4. DPer misurare la pressione all'interno dell'intestino

A patient receiving external beam radiotherapy asks whether they are radioactive. What is correct?

1. AYes, for one month after each session
2. BOnly their clothes are radioactive afterwards
3. CYes, so they must avoid all contact with children and pregnant women
4. DNo, they are not radioactive and can be with family

What does the ASA physical status classification describe?

1. AThe type of anaesthetic drug the surgeon prefers
2. BThe exact length of the planned operation
3. CThe patient's pain score after surgery
4. DThe patient's general health before anaesthesia

Patients on immune checkpoint inhibitors may develop immune-related side effects. Which symptom should they report promptly?

1. ASlight hair thinning over months
2. BNew diarrhoea or abdominal pain
3. CMild tiredness after a busy day
4. DA small bruise after a knock

Quale classe di farmaci si usa comunemente per ridurre l'acidità dopo il trattamento endoscopico di un'ulcera peptica sanguinante?

1. ADiuretici dell'ansa
2. BBeta-bloccanti
3. CInibitori di pompa protonica
4. DAntistaminici H1 come la cetirizina

Which nerve is at risk if the arm is poorly padded at the elbow during surgery?

1. ASciatic nerve
2. BUlnar nerve
3. CFacial nerve
4. DFemoral nerve

A patient with a permanent pacemaker is booked for surgery using monopolar diathermy. Why must the team know?

1. AThe patient cannot have any anaesthetic at all
2. BPacemakers stop all bleeding during surgery
3. CThe pacemaker will always be removed during surgery
4. DDiathermy can interfere with the pacemaker's function

A competent adult who is a Jehovah's Witness refuses blood transfusion before major surgery. What should the nurse do?

1. ARespect the decision, document it and inform the team
2. BCancel the surgery without discussing it
3. CPlan to transfuse secretly during the operation if it becomes needed
4. DAsk the family to override the decision