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

What is a hiatus hernia?

1. APart of the bowel pushing through the groin into the scrotum
2. BA bulge of bowel through an old surgical scar
3. CPart of the stomach pushing up through the diaphragm
4. DBowel bulging through a weak point in the muscle at the umbilicus

Jaka cecha jest typowa dla oparzenia pełnej grubości skóry?

1. ASkóra skórzasta, biała lub brązowa, niebolesna
2. BSkóra, która bieleje pod uciskiem i goi się w ciągu kilku dni
3. CWilgotna, różowa skóra z dużymi, bolesnymi pęcherzami
4. DCzerwona, bolesna skóra bez pęcherzy, jak po oparzeniu słonecznym

What is slough in a wound?

1. AYellow, soft, stringy dead tissue
2. BPink, new skin at the wound edge
3. CRed, healthy granulation tissue
4. DA thick, hard black crust

A patient had an upper GI endoscopy with a local anaesthetic throat spray. What must the nurse check before giving a drink?

1. AThat swallowing and the gag reflex have returned
2. BThat bowel sounds are present in all four quadrants
3. CThat the patient's blood glucose is above normal
4. DThat the patient has passed urine since the procedure

What is the most important safety point about misoprostol?

1. AIt can cause miscarriage and must not be used in pregnancy
2. BIt causes severe constipation in most patients
3. CIt must be given only by deep intramuscular injection
4. DIt strongly raises blood glucose in people with diabetes

Pacjent z ostrym krwawieniem z górnego odcinka przewodu pokarmowego ma przy przyjęciu prawidłową hemoglobinę. Dlaczego może to być mylące?

1. AHemoglobina spada dopiero po całym tygodniu ciągłego krwawienia
2. BHemoglobina nie zależy od krwawienia z przewodu pokarmowego
3. CHemoglobina zawsze najpierw rośnie po jakiejkolwiek utracie krwi
4. DSpada ona dopiero po przemieszczeniu płynów lub rozcieńczeniu krwi płynami dożylnymi

A nurse teaches a patient about a fentanyl skin patch. Which statement shows a need for further teaching?

1. A"I won't put a hot water bottle over the patch."
2. B"I can cut the patch in half if I need less."
3. C"I'll fold used patches sticky sides together before disposal."
4. D"I'll put the new patch on a different area of skin."

A sacral wound has heavy exudate, and the surrounding skin is white, soft and wrinkled. What should the nurse do?

1. AApply a tight plastic film directly over the wound
2. BLeave the same dressing in place for a week so the wound is not disturbed
3. CProtect the skin edges and use a more absorbent dressing
4. DUse a dressing that adds even more moisture