Choroby wewnętrzne i chirurgiczne: przewód pokarmowy, okres okołooperacyjny i onkologia: karta pracy z odpowiedziami

What is dumping syndrome after gastric surgery?

1. ALeakage of bile from the liver into the abdominal cavity
2. BRapid passage of food from the stomach into the small bowel
3. CReflux of bowel contents back into the oesophagus
4. DSlow emptying of the stomach causing food to stay for days

Pain is usually called chronic when it lasts longer than about how long?

1. AThree days
2. BThree hours
3. CThree months
4. DThree weeks

What is atelectasis?

1. AA blood clot in a leg vein
2. BInfection of the surgical wound
3. CSwelling of both ankles caused by lying in bed after surgery
4. DCollapse of small air sacs in part of the lung

Dlaczego pacjentów uczy się podtrzymywania rany brzucha poduszką podczas kaszlu?

1. APrzyspiesza gojenie brzegów skóry
2. BZastępuje potrzebę regularnej analgezji
3. COsłabia kaszel, więc rana nie jest narażona
4. DZmniejsza to ból i napięcie, więc mogą skutecznie kaszleć

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

Which intervention most reduces pressure ulcer risk in an immobile patient?

1. AMassaging red areas firmly at each turn to bring back the circulation
2. BUsing a doughnut-shaped ring cushion
3. CKeeping the head of the bed raised at 90° all day
4. DRegular repositioning and a pressure-redistributing mattress

Six hours after surgery, a patient has not passed urine, has lower abdominal discomfort and a bladder scan shows 750 mL. What should the nurse do?

1. AGive a diuretic to increase urine flow
2. BCatheterise as per protocol or prescription
3. CWait another twelve hours before acting
4. DRestrict fluids until the urge returns

A patient with active cancer on chemotherapy develops new swelling and pain in one calf. Why must this be reported promptly?

1. AIt is only a muscle strain from walking
2. BCalf swelling is a normal effect of chemotherapy
3. CCancer and its treatment greatly increase clot risk
4. DThe swelling shows the cancer has gone