정답이 있는 내외과: 소화기계, 수술 전후, 종양 학습지

배양을 위한 상처 도말 검체를 채취하기 직전에 해야 할 일은?

1. A마른 드레싱 자체에서 검체를 채취한다
2. B이전 드레싱을 하루 더 그대로 둔다
3. C표면의 이물질을 제거하도록 생리식염수로 닦는다
4. D소독제를 바르고 완전히 마르게 둔다

Where is biliary colic typically felt?

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

돌발 통증(breakthrough pain)이란?

1. A진통제 알레르기로만 생기는 통증
2. B규칙적인 기본 진통에도 불구하고 나타나는 통증의 급격한 악화
3. C수술 중에만 느끼는 통증
4. D규칙적인 치료로 완전히 사라진 통증

새 회장루에서 폐색 위험을 줄이는 음식 조언은?

1. A잘 씹고 섬유질 음식은 천천히 도입한다
2. B첫날부터 견과류와 씨앗을 많이 먹는다
3. C배출물을 단단하게 유지하도록 수분을 아주 적게 마신다
4. D많이 씹지 않고 음식을 빨리 삼킨다

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

1. AStop it about 5 days before and check the INR
2. BSwap to aspirin on the morning of surgery
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 correctly describes physical dependence on opioids?

1. AThe patient always craves the drug and misuses it despite harm
2. BWithdrawal occurs if the drug is stopped suddenly
3. CThe patient is allergic to opioids
4. DThe drug no longer has any side effects

On day 5 after hip surgery, a patient suddenly becomes breathless, with sharp chest pain on breathing in, a pulse of 120/min and SpO₂ 89%. What should the nurse suspect and do first?

1. ASimple atelectasis; encourage walking around the ward
2. BPulmonary embolism; sit up, give oxygen and call for urgent help
3. CAnxiety; give reassurance and repeat the observations in an hour's time
4. DWound infection; take a wound swab and wait for results

After a fall, a patient with advanced dementia is agitated, grimacing and guarding the hip, and cannot rate the pain. What should the nurse do?

1. AWait until a relative can confirm the pain
2. BAssume there is no pain because none is reported
3. CGive a sedative to treat the agitation and avoid giving any analgesia
4. DUse an observational pain tool, give analgesia and reassess