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

In many adult guidelines, how long before an elective anaesthetic can clear fluids usually be drunk?

1. AUp to 10 minutes before
2. BUp to 12 hours before
3. CUp to 2 hours before
4. DUp to 24 hours before

Czym jest „nadir” w chemioterapii?

1. AOstatni dzień kursu radioterapii
2. BPierwszy dzień nowego cyklu chemioterapii
3. CCzas, gdy wartości morfologii krwi są najwyższe po cyklu
4. DCzas, gdy wartości morfologii krwi są najniższe po cyklu

What is the typical main symptom of gastro-oesophageal reflux disease (GORD)?

1. ACramping pain low in the left side of the abdomen
2. BSharp pain in the right shoulder after meals
3. CBurning pain behind the breastbone (heartburn)
4. DPainless yellowing of the skin and eyes

Which change suggests that a burn wound is becoming infected?

1. ADry, healing skin with mild itching
2. BA partial-thickness burn becoming deeper, with new discolouration
3. CThe wound becoming pink and a little smaller at each dressing change
4. DLess exudate on each dressing change

Which early symptoms suggest local anaesthetic systemic toxicity?

1. ATingling around the mouth, a metallic taste and tinnitus
2. BIncreased hunger and thirst over several hours, with a dry mouth
3. CMild itching of the feet the next day
4. DA red rash only at the injection site, with no other symptoms

Which medicine commonly delays wound healing?

1. AParacetamol
2. BLong-term corticosteroids
3. CSaline eye drops
4. DVitamin C supplements

During preoperative assessment, a patient says their brother had a "very high fever" during an anaesthetic. What is the most important action?

1. ARecord it as a family allergy to paracetamol
2. BGive paracetamol before surgery to prevent fever
3. CInform the anaesthetist, as malignant hyperthermia may run in the family
4. DReassure the patient that fevers after anaesthesia are always harmless

Just after extubation in recovery, a patient develops a high-pitched noise on breathing in, with falling SpO₂. What should the nurse do first?

1. ACall for help, give 100% oxygen and use a jaw thrust
2. BWait a few minutes to see if it passes
3. CGive an opioid to calm the patient's breathing and reduce anxiety
4. DSit the patient up and give a drink of water