정답이 있는 내외과: 소화기계, 수술 전후, 종양 학습지

What is an anastomosis in bowel surgery?

1. AA tube placed in the bowel for feeding
2. BAn opening of the bowel onto the skin
3. CA drain placed beside the bowel
4. DA surgical join between two ends of bowel

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

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

Where is biliary colic typically felt?

1. AIn the left lower abdomen, after passing stool
2. BIn the lower back, after lifting something heavy
3. CIn the groin, after standing for a long time
4. DIn the right upper abdomen, often after a fatty meal

A patient on warfarin is booked for elective surgery with a high bleeding risk. What is usual practice?

1. ASwap to aspirin on the morning of surgery
2. BStop it about 5 days before and check the INR
3. CTake the usual dose on the morning of surgery
4. DDouble the dose for a week so the blood is ready for surgery

Which statement about pain relief in acute pancreatitis is correct?

1. AOpioids can be used, and good analgesia is a priority
2. BPain relief should be withheld until the diagnosis is certain
3. COnly paracetamol may be given
4. DOpioids must never be used in pancreatitis

Which change suggests that a burn wound is becoming infected?

1. AThe wound becoming pink and a little smaller at each dressing change
2. BA partial-thickness burn becoming deeper, with new discolouration
3. CLess exudate on each dressing change
4. DDry, healing skin with mild itching

Which new prescription for a patient with cirrhosis should the nurse question?

1. ALactulose to keep the bowels open
2. BThiamine supplements
3. CRegular ibuprofen for back pain
4. DSpironolactone for ascites

In week 5 of radiotherapy, the skin in the treatment field is broken, moist and painful. What should the nurse do?

1. AScrub the area with soap to prevent infection
2. BReport it, keep it clean and use a non-adherent dressing
3. CApply adhesive tape directly over the area to protect it from clothing
4. DUse a heat pad to speed healing