정답이 있는 내외과: 소화기계, 수술 전후, 종양 학습지

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

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

If hair must be removed before surgery, which method is recommended?

1. AA razor shave the night before surgery
2. BA wax strip several days before surgery
3. CElectric clippers on the day of surgery
4. DPulling the hairs out with tweezers

How is hepatitis A mainly spread?

1. ABreathing in airborne droplets
2. BBlood transfusion and needles
3. CTick and mosquito bites
4. DFaecal-oral route

Why are antiemetics usually given before chemotherapy starts?

1. APreventing nausea works better than treating it later
2. BThey stop the chemotherapy from causing hair loss and mouth sores
3. CThey cannot be given once nausea has started
4. DAntiemetics make the chemotherapy work better

Why is the time a surgical limb tourniquet is inflated carefully recorded?

1. AIt shows how long the anaesthetic gas was used
2. BThe tourniquet slowly loses all its air after one minute
3. CLong inflation can cause nerve and muscle damage
4. DThe surgeon is paid per minute of use

How should a patient use an incentive spirometer after surgery?

1. ABreathe in slowly and deeply, then hold briefly
2. BUse it once a day, just before going to sleep at night
3. CBlow out as hard and as fast as possible
4. DBreathe quickly in and out ten times in a row

상복부 수술 2일째에 환자의 체온이 37.8 °C, 실내 공기에서 SpO₂ 93%, 양쪽 폐 하부의 호흡음이 감소했습니다. 통증 때문에 인센티브 폐활량계를 사용하지 않았습니다. 가장 적절한 간호 계획은?

1. A환자가 더 세게 기침할 수 있도록 모든 진통을 중단한다
2. B통증 조절 개선, 앉기, 심호흡, 이동, 그리고 보고
3. C열이 가라앉을 때까지 환자를 침대에 두고 움직임을 제한한다
4. D15 L/min의 산소를 주고 환자를 조용히 쉬게 둔다

식도 정맥류가 알려진 환자가 많은 양의 선홍색 피를 토합니다. 내시경 전에 간호사가 예상해야 하는 치료는?

1. A어떤 약물 치료보다 먼저 긴급 바륨 삼킴 검사
2. B높은 혈압이 되도록 빠른 생리식염수 주입
3. C통증에 경구 NSAID와 고단백 식사
4. D소생술 중 옥트레오타이드 또는 테를리프레신과 정맥 항생제