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

Which tool helps assess pain in a person with advanced dementia who cannot report it?

1. AThe Glasgow Coma Scale, scored every hour
2. BThe MUST nutrition score
3. CA numerical rating scale from 0 to 10, read out slowly
4. DAn observational scale such as PAINAD or Abbey

Qual è lo scopo della Checklist chirurgica di sicurezza dell'OMS?

1. AElencare la formazione e l'esperienza del chirurgo
2. BRegistrare che cosa il paziente vorrebbe mangiare e bere dopo l'intervento
3. CGarantire che i controlli di sicurezza essenziali avvengano prima, durante e dopo l'intervento
4. DSostituire il consenso informato per gli interventi programmati

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

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

A patient had an upper GI endoscopy with a local anaesthetic throat spray. What must the nurse check before giving a drink?

1. AThat swallowing and the gag reflex have returned
2. BThat the patient has passed urine since the procedure
3. CThat bowel sounds are present in all four quadrants
4. DThat the patient's blood glucose is above normal

Per quanto tempo si adottano spesso precauzioni speciali con i liquidi corporei dopo molti farmaci chemioterapici?

1. ASolo durante l'infusione
2. BComunemente circa 48 ore
3. CPer un intero anno
4. DNon sono mai necessarie

Which finding suggests a deep tissue pressure injury?

1. APale pink skin that blanches quickly when pressed
2. BDry, flaky skin on both shins
3. CA small scratch on the skin with a little fresh red blood
4. DIntact skin that is purple or maroon over a bony area

A patient with haematemesis becomes drowsy and starts to vomit blood again. What is the immediate priority?

1. ASend a stool sample for faecal occult blood testing
2. BComplete the admission paperwork and medication history
3. CGive a large glass of iced water to slow the bleeding
4. DTurn the patient onto their side to protect the airway

An older patient on regular opioids has small amounts of liquid stool leaking all day, but has not had a formed bowel movement for 6 days. What is the most likely cause?

1. AAcute infective gastroenteritis
2. BFaecal impaction with overflow
3. CNormal stool pattern on opioids
4. DA flare of ulcerative colitis