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

Che aspetto ha una stomia sana?

1. AAsciutta e nera
2. BPallida e fredda
3. CUmida e rossa o rosa
4. DViola o cianotica e asciutta

Which signs suggest peritonitis?

1. AA soft abdomen with no pain on pressing
2. BLoud bowel sounds with a hungry feeling
3. CGuarding, rebound tenderness and a rigid abdomen
4. DA small, painless lump near the umbilicus

What is the main purpose of marking the surgical site before an operation?

1. ATo record the patient's allergy status
2. BTo prevent surgery on the wrong side or site
3. CTo tell the porter which theatre to go to
4. DTo show where the skin should be shaved

Perché le ustioni superficiali (solo arrossamento, come una scottatura solare) non si contano nel calcolo dell'area ustionata per la rianimazione con liquidi?

1. ASono sempre troppo piccole per essere misurate con precisione su una tabella
2. BCausano più perdita di liquidi di qualsiasi altra profondità
3. CGuariscono sempre completamente entro un giorno
4. DLa barriera cutanea è intatta, perciò si perde poco liquido

Why does a patient need lifelong vitamin B₁₂ injections after total gastrectomy?

1. AThe small bowel stops absorbing all nutrients
2. BThe liver can no longer store any vitamins
3. CIntrinsic factor from the stomach is no longer made
4. DVitamin B₁₂ is lost in the urine after the surgery

A patient received IV morphine 20 minutes ago and the surgical consent form has not been signed. What should the nurse do?

1. AAsk the patient to sign quickly before they get sleepier
2. BSign the form on the patient's behalf as a witness
3. CAsk a relative to sign instead of the patient
4. DTell the surgeon, as the patient may not be able to consent now

During a nerve block, a patient reports a metallic taste and ringing in the ears, then has a seizure. Besides calling for help and supporting the airway, which specific treatment is given?

1. AIV lipid emulsion
2. BIV dantrolene
3. CIV naloxone
4. DIV glucose 50%

A colleague suggests giving a saline injection to see whether a patient's pain is "real". What is the best response?

1. AIt should be done only for patients with chronic pain
2. BIt is a good idea, as long as the patient is not told about it afterwards
3. CDeceptive placebos are unethical and do not show pain is "fake"
4. DIt is acceptable if a senior nurse gives the saline