정답이 있는 내외과: 소화기계, 수술 전후, 종양 학습지

When should pain be reassessed after giving analgesia?

1. ANever, as one assessment is enough
2. BOnly at the next routine observation round the next day
3. CWhen the drug is expected to have taken effect
4. DOnly if the patient asks for more analgesia

급성 췌장염 대부분을 설명하는 두 가지 원인은?

1. A고섬유 식이와 탈수
2. B바이러스성 감기와 스트레스
3. C담석과 음주
4. D흡연과 비만

What is dyspepsia?

1. AUpper abdominal discomfort, often called indigestion
2. BPain in the rectum on opening the bowels
3. CVomiting of blood after a large meal
4. DDifficulty swallowing solid food and tablets

A patient is starting regular oral morphine. Which bowel advice is most appropriate?

1. AStart a regular laxative at the same time
2. BStop eating fibre completely
3. CTake a bulk-forming laxative only with very little water
4. DWait until there has been no stool for a week

Which infection control measure is correct for a patient with C. difficile diarrhoea?

1. AA face mask for the patient and visitors only
2. BA single room with its own toilet, and soap-and-water handwashing
3. CNo special measures once antibiotics have started
4. DA shared bay, as long as alcohol gel is used after every contact

A patient takes co-codamol at home (a combination tablet sold under different names in different countries). Why should the nurse check this before giving regular paracetamol (acetaminophen)?

1. ACo-codamol must be stopped a week before any paracetamol
2. BIt already contains paracetamol, so overdose could occur
3. CParacetamol and codeine cause a severe allergic reaction when combined
4. DCo-codamol stops paracetamol from working

A patient has a category (stage) 2 pressure ulcer on the sacrum. Which plan is most appropriate?

1. AMassage around the wound every hour to stimulate blood flow to the skin
2. BLeave it uncovered and dry it with a hair dryer
3. CSit the patient upright in a chair for most of the day
4. DOffload the area, manage moisture, support nutrition and dress it

Two days after a PEG insertion, a patient reports pain on feeding, and feed is leaking around the site. What should the nurse do?

1. AStop the feed at once and seek urgent medical advice
2. BIncrease the feed rate to improve nutrition
3. CContinue feeding and apply a thicker dressing
4. DGive the next medicines through the tube as usual