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

What is healing by secondary intention?

1. AA wound closed a few days after it was left open
2. BA wound closed with sutures straight after surgery
3. CA wound that heals without any new tissue
4. DA wound left open that heals from the base upwards

Using the rule of nines in an adult, what percentage is the whole front of the trunk?

1. A9%
2. B36%
3. C27%
4. D18%

Which sign is typical of hepatic encephalopathy?

1. AA drooping eyelid on one side
2. BA flapping tremor of the outstretched hands
3. CA fine rash over the chest and arms
4. DA stiff neck with sensitivity to light

Perché nei primi giorni dopo un intervento maggiore l'analgesia regolare (programmata) è spesso preferita alle dosi "al bisogno"?

1. AConsente di somministrare dosi superiori al massimo giornaliero
2. BMantiene stabili i livelli del farmaco e previene picchi di dolore intenso
3. CElimina la necessità di valutare il dolore del paziente durante il giorno
4. DPreviene completamente tutti gli effetti collaterali degli oppioidi

What is the most important safety point about misoprostol?

1. AIt strongly raises blood glucose in people with diabetes
2. BIt can cause miscarriage and must not be used in pregnancy
3. CIt must be given only by deep intramuscular injection
4. DIt causes severe constipation in most patients

Quale medicazione è in genere adatta a una ferita secca con slough che ha bisogno di umidità?

1. AUn idrogel
2. BGarza asciutta
3. CUn alginato
4. DUna schiuma

A nurse teaches a patient going home between chemotherapy cycles. Which statement shows a need for further teaching?

1. A"I'll check my temperature whenever I feel hot, shivery or unwell."
2. B"I'll keep the emergency number and call if I feel shivery."
3. C"I'll wash my hands often and avoid people with infections."
4. D"If I get a fever, I'll take paracetamol and see if it settles."

A 62-year-old with known reflux reports burning central chest pain with sweating and breathlessness that began while walking. What should the nurse do first?

1. ABook a routine endoscopy for later in the week
2. BRecord a 12-lead ECG and escalate as possible cardiac pain
3. CAdvise the patient to avoid spicy food at future meals
4. DGive an antacid and reassess the pain in an hour