Užduočių lapas tema Vidaus ligų ir chirurginė slauga: virškinimo trakto, perioperacinė ir onkologinė su atsakymais

Which signs suggest early hypovolaemic shock after surgery?

1. ARising heart rate, cool skin and slow capillary refill
2. BSlow heart rate, flushed skin and warm hands
3. CNormal pulse with heavy sweating only after meals
4. DHigh blood pressure with a fast, bounding pulse

Which bedside test is commonly used to check that a nasogastric tube is in the stomach before each use?

1. APutting the tube end in a cup of water
2. BAsking the patient whether it feels comfortable
3. CListening for a "whoosh" of injected air
4. DTesting aspirate with pH paper

Where are venous leg ulcers usually found?

1. AOn the front of the thigh
2. BOn the tips of the toes and between the toes
3. COn the sole of the foot under the heel
4. DAround the inner ankle, in the gaiter area

Which task for a stable patient with an established ileostomy can usually be delegated to a trained healthcare assistant (nursing assistant)?

1. AAssessing the stoma for signs of necrosis
2. BDeciding whether IV fluids are needed
3. CEmptying the pouch and measuring the output
4. DTeaching the patient about high-output risks

Which liver function test pattern suggests bile duct obstruction?

1. ANormal bilirubin with a low ALP and low GGT
2. BVery high ALT with a normal bilirubin only
3. CHigh bilirubin with a markedly raised ALP and GGT
4. DA low albumin with all other results normal

A patient on enteral feeding develops diarrhoea. What should the nurse review first?

1. AThe colour of the feeding bag label
2. BThe medicine chart, including laxatives and antibiotics
3. CThe patient's eye drops and skin creams
4. DThe patient's mobility aids and walking distance

Antrą dieną po viršutinės pilvo dalies operacijos pacientui temperatūra 37,8 °C, SpO₂ 93 % kvėpuojant kambario oru, abiejuose pagrinduose susilpnėjęs kvėpavimas. Dėl skausmo jis nesinaudojo stimuliuojančiu spirometru. Kuris slaugos planas tinkamiausias?

1. AGeresnė skausmo kontrolė, sėdėjimas, gilus kvėpavimas, mobilizavimas ir pranešimas
2. BLaikyti pacientą lovoje ir riboti judėjimą, kol karščiavimas praeis
3. CDuoti 15 l/min. deguonies ir palikti pacientą ramiai ilsėtis
4. DNutraukti visą nuskausminimą, kad pacientas galėtų stipriau kosėti

A competent adult who is a Jehovah's Witness refuses blood transfusion before major surgery. What should the nurse do?

1. ARespect the decision, document it and inform the team
2. BAsk the family to override the decision
3. CCancel the surgery without discussing it
4. DPlan to transfuse secretly during the operation if it becomes needed