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

Który rodzaj gojenia opisuje czyste cięcie chirurgiczne zamknięte szwami?

1. APrzez gojenie opóźnione
2. BPrzez zamknięcie odroczone
3. CPrzez ziarninowanie
4. DPrzez rychłozrost

Which sign suggests acute cholecystitis?

1. APain that stops a deep breath when the right upper abdomen is pressed
2. BA flapping tremor of the hands when the arms are held out
3. CPain in the left lower abdomen when the right side is pressed
4. DBruising around the umbilicus and over both flanks of the abdomen

Which signs suggest a deep vein thrombosis in the leg?

1. ASwelling, pain, warmth and redness of one calf
2. BA painless rash on both shins
3. CItching between the toes of both feet
4. DCold, pale feet on both sides with no pulse

Which nursing intervention best reduces preoperative anxiety?

1. AKeeping family members away until after surgery
2. BTelling the patient that there is nothing to worry about
3. CExplaining what will happen and answering questions
4. DAvoiding talking about the operation at all

A patient has taken oral prednisolone daily for many months. Why is this important before surgery?

1. ASteroids must always be stopped a full week before any type of surgery
2. BSteroids prevent all wound infections after surgery
3. CSteroids make the anaesthetic drugs last much longer
4. DThey may need extra steroid cover to prevent an adrenal crisis

Which technique is correct when giving a prefilled low molecular weight heparin injection?

1. AInject into a vein in the back of the hand
2. BRub the site firmly afterwards to help absorption
3. CExpel the air bubble first and inject into the deltoid muscle
4. DLeave the air bubble in and inject into a skin fold

After a coughing fit, the external mark on a patient's nasogastric tube has moved 10 cm. Feed is due. What should the nurse do?

1. ADo not use the tube until its position is confirmed by policy
2. BPush the tube back to the original mark and start the feed
3. CStart the feed at a slow rate and watch for coughing
4. DGive the medicines only and save the feed for later

A patient with a permanent pacemaker is booked for surgery using monopolar diathermy. Why must the team know?

1. APacemakers stop all bleeding during surgery
2. BThe patient cannot have any anaesthetic at all
3. CThe pacemaker will always be removed during surgery
4. DDiathermy can interfere with the pacemaker's function