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

What is the main serious risk of paracetamol (acetaminophen) overdose?

1. AStomach bleeding
2. BLiver damage
3. CHearing loss
4. DRespiratory depression

How is hepatitis B mainly spread?

1. AOnly by coughing and sneezing
2. BThrough touching door handles and shaking hands
3. COnly by eating undercooked shellfish from polluted water
4. DThrough blood, sexual contact and from mother to baby

Dlaczego w chorobach wątroby rozwija się żółtaczka?

1. AŻółty barwnik z pożywienia odkłada się w skórze
2. BBilirubina gromadzi się, ponieważ wątroba nie potrafi jej usunąć
3. CNerki wytwarzają zbyt dużo mocznika
4. DWątroba wytwarza naraz zbyt wiele krwinek czerwonych

Which is correct when caring for a patient with a PICC line?

1. AAvoid taking blood pressure on the arm with the line
2. BFlush the line only when it blocks
3. CLeave the external length unchecked once it is placed
4. DUse the PICC arm for heavy lifting to keep it flexible

Which nursing care helps a new skin graft take?

1. AEncouraging the patient to exercise the area straight away
2. BRemoving the dressing every hour to look at it
3. CMassaging the graft firmly several times a day
4. DKeeping the area still and avoiding shearing forces

Which diet is usually recommended for a patient with cirrhosis and hepatic encephalopathy?

1. AA very low-protein diet for the rest of their life to lower ammonia
2. BNo food at all until the confusion settles
3. COnly clear fluids for several weeks
4. DNormal protein and enough calories, with a late-evening snack

On day 2 of nasogastric feeding, a severely malnourished patient becomes weak and breathless with ankle swelling. Phosphate is 0,4 mmol/L. What is most likely?

1. AAn allergy to the feed formula
2. BNormal adjustment to the new feed
3. CRefeeding syndrome
4. DToo little calorie intake

An older patient on regular opioids has small amounts of liquid stool leaking all day, but has not had a formed bowel movement for 6 days. What is the most likely cause?

1. AAcute infective gastroenteritis
2. BFaecal impaction with overflow
3. CNormal stool pattern on opioids
4. DA flare of ulcerative colitis