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

Which is a role of the scrub practitioner in theatre?

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

Why is adrenaline sometimes added to a local anaesthetic?

1. AIt makes the patient fall asleep more quickly
2. BIt turns the local anaesthetic into a general anaesthetic
3. CIt narrows vessels, so the block lasts longer and bleeding is less
4. DIt stops the local anaesthetic causing any allergy

When should pain be reassessed after giving analgesia?

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

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

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

Pacjent z nową ileostomią ma bardzo dużą wydzielinę. Jakie jest główne ryzyko?

1. AZaparcie i zaleganie kału w jelicie powyżej stomii
2. BOdwodnienie oraz utrata sodu, potasu i magnezu
3. CWysokie stężenie wapnia i kamienie nerkowe w ciągu kilku dni
4. DPrzeciążenie płynami i obrzęk kostek

Which advice has good evidence for reducing cancer-related fatigue?

1. ADrinking several strong coffees every evening
2. BRegular light to moderate activity, such as walking
3. CComplete bed rest for the whole course of treatment
4. DAvoiding all daily activities

An hour after a line flush, a patient receiving parenteral nutrition has rigors and a temperature of 39,1 °C. What should the nurse suspect and do?

1. AFluid overload; reduce the infusion rate only
2. BA normal reaction; give paracetamol and continue the infusion
3. CLine infection; escalate and take blood cultures
4. DLow blood glucose; give a sugary drink

A surgical patient's MUST score is 3 and the wound is healing slowly. What is the most appropriate action?

1. ARefer to the dietitian, start a nutrition plan and monitor intake
2. BRepeat the score in three months' time
3. CRestrict protein to help the kidneys
4. DEncourage fasting to reduce wound exudate and the size of the dressing