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

Why is a temporary loop ileostomy often formed after a low bowel resection?

1. ATo divert stool while the join further down heals
2. BTo remove the whole colon permanently in a single operation
3. CTo let the patient eat without chewing
4. DTo drain urine from the kidneys

Using the rule of nines in an adult, what percentage is the whole front of the trunk?

1. A36%
2. B9%
3. C18%
4. D27%

What is dyspepsia?

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

Why are carbohydrate drinks often given before surgery in enhanced recovery programmes?

1. ATo reduce insulin resistance and improve recovery
2. BTo raise the blood pressure during the anaesthetic
3. CTo replace the need for any IV fluids afterwards
4. DTo make the bowels open before the operation

Which rule about the sterile field is correct?

1. AThe area below a gowned person's waist is sterile
2. BA sterile pack stays sterile even when it is wet
3. CIf sterility is in doubt, the item is treated as contaminated
4. DSterile items can be passed across a non-sterile area freely

Dlaczego w pierwszych dniach po dużej operacji często woli się regularną (zaplanowaną) analgezję niż dawki „w razie potrzeby”?

1. ACałkowicie zapobiega wszystkim działaniom niepożądanym opioidów
2. BUtrzymuje stałe stężenia leku i zapobiega silnym szczytom bólu
3. CEliminuje potrzebę oceniania bólu pacjenta w ciągu dnia
4. DPozwala podawać dawki wyższe niż maksymalna dawka dobowa

During a nasogastric feed, a patient starts coughing and SpO₂ falls from 96% to 89%. What should the nurse do first?

1. AStop the feed and assess the airway and breathing
2. BLay the patient flat to help them rest
3. CIncrease the feed rate to finish it sooner
4. DGive a drink of water to clear the throat

Which new prescription for a patient with cirrhosis should the nurse question?

1. ARegular ibuprofen for back pain
2. BLactulose to keep the bowels open
3. CSpironolactone for ascites
4. DThiamine supplements