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

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Imię: ____________________   Data: ____________

1.Łatwy

Which signs suggest a surgical site infection?

  1. AA dry wound edge with a thin scab
  2. BIncreasing pain, redness, swelling, heat and pus
  3. CMild itching as the wound heals
  4. DMild bruising around the wound that is fading a little each day
2.Łatwy

What is an incisional hernia?

  1. AA pouch in the wall of the colon
  2. BA swelling in the groin present from birth
  3. CA bulge of stomach through the diaphragm
  4. DA bulge through a weakened surgical scar
3.Łatwy

What is brachytherapy?

  1. ASurgery to remove a tumour through a small incision
  2. BRadiotherapy from a sealed source placed in or next to the tumour
  3. CRadiotherapy given by a machine from outside the body
  4. DChemotherapy given slowly into a vein over several hours each day
4.Średni

Aspirate from a nasogastric tube has a pH of 7. What should the nurse do?

  1. AStart the feed slowly and watch the patient closely for coughing
  2. BFlush with 50 mL of air and start the feed
  3. CGive the medicines but not the feed
  4. DDo not use it; re-test later or arrange an X-ray as per policy
5.Średni

In the SBAR communication tool, what belongs under "A"?

  1. AThe nurse's assessment of what the problem is
  2. BThe patient's admission date only
  3. CA list of the patient's allergies only
  4. DThe address and phone number of the patient's next of kin
6.Średni

Why is it important to prevent perioperative hypothermia?

  1. AIt reduces the amount of anaesthetic needed, which is unsafe
  2. BIt lowers the risk of pain after surgery
  3. CIt increases bleeding, wound infection and heart complications
  4. DIt makes patients wake up from the anaesthetic too quickly
7.Trudny

On day 3 after surgery, a patient has a temperature of 38,6 °C, respiratory rate 24/min, pulse 118/min, BP 92/58 mmHg and new confusion. What should the nurse do?

  1. AGive paracetamol and recheck in four hours
  2. BEscalate urgently and start the sepsis pathway
  3. CRecord the observations and continue routine care
  4. DEncourage oral fluids and wait for the doctor's round
8.Trudny

A nurse teaches a patient after a laparoscopic fundoplication for reflux. Which statement shows a need for further teaching?

  1. A"Fizzy drinks will help me bring up wind after meals."
  2. B"Some difficulty swallowing can happen in the early weeks."
  3. C"I'll eat soft, moist food at first and chew it well."
  4. D"I should eat smaller meals for a while after the operation."

Klucz odpowiedzi

  1. 1. B · Increasing pain, redness, swelling, heat and pus
  2. 2. D · A bulge through a weakened surgical scar
  3. 3. B · Radiotherapy from a sealed source placed in or next to the tumour
  4. 4. D · Do not use it; re-test later or arrange an X-ray as per policy
  5. 5. A · The nurse's assessment of what the problem is
  6. 6. C · It increases bleeding, wound infection and heart complications
  7. 7. B · Escalate urgently and start the sepsis pathway
  8. 8. A · "Fizzy drinks will help me bring up wind after meals."

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