정답이 있는 내외과: 소화기계, 수술 전후, 종양 학습지

What is adjuvant chemotherapy?

1. ATreatment given only to relieve symptoms
2. BTreatment after surgery to reduce the risk of recurrence
3. CTreatment given before a biopsy is taken
4. DTreatment given only to patients who refuse surgery or radiotherapy

Which is a role of the scrub practitioner in theatre?

1. AGiving the anaesthetic drugs to the patient
2. BObtaining the patient's surgical consent
3. CMoving equipment outside the sterile field only
4. DPreparing and passing sterile instruments

When should pain be reassessed after giving analgesia?

1. AOnly at the next routine observation round the next day
2. BWhen the drug is expected to have taken effect
3. COnly if the patient asks for more analgesia
4. DNever, as one assessment is enough

Which early symptoms suggest local anaesthetic systemic toxicity?

1. AIncreased hunger and thirst over several hours, with a dry mouth
2. BMild itching of the feet the next day
3. CA red rash only at the injection site, with no other symptoms
4. DTingling around the mouth, a metallic taste and tinnitus

Which description fits a category (stage) 4 pressure ulcer?

1. AFull-thickness loss with exposed bone, tendon or muscle
2. BA shallow wound into the dermis only
3. CIntact skin with redness that does not blanch
4. DA blister filled with clear fluid over the heel or sacrum

Which statement about pain in older adults is correct?

1. AThey may under-report pain, so active assessment is needed
2. BOpioids must never be used in people over 70
3. CPain is a normal part of ageing and does not need any treatment at all
4. DOlder adults feel less pain because nerves wear out

Two days after surgery, a patient on regular ibuprofen has a low urine output and a rising creatinine, and intake has been poor. What should the nurse do?

1. AChange to a higher-strength NSAID tablet
2. BWithhold the next dose and report to the prescriber
3. CIncrease the dose to treat the pain better and encourage fluids
4. DGive the next dose with extra food

After signing the consent form, a patient tells the nurse, "I don't really understand what they are going to do." What should the nurse do?

1. AExplain the surgical risks in detail without involving the surgeon
2. BInform the surgeon so that the procedure can be explained again
3. CIgnore the comment because the form is already signed
4. DReassure the patient that the surgeon knows best