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

Jaka cecha jest typowa dla oparzenia pełnej grubości skóry?

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

Which three principles reduce staff radiation exposure when caring for a patient with a sealed radiation source?

1. ATime, distance and shielding
2. BHeat, light and humidity
3. CGloves, gown and mask
4. DSpeed, noise and lighting

What is a spinal anaesthetic?

1. AA sedative tablet taken the night before
2. BA general anaesthetic gas breathed through a mask
3. CLocal anaesthetic cream rubbed on the skin
4. DLocal anaesthetic injected into the CSF in the lower back

Which group of findings suggests obstruction of the bile duct?

1. ARed urine, black stools and a high blood glucose
2. BJaundice, dark urine, pale stools and itching
3. CNormal skin colour with diarrhoea and fever
4. DPale urine, dark stools and a flapping tremor

Which nerve is at risk if the arm is poorly padded at the elbow during surgery?

1. AUlnar nerve
2. BFemoral nerve
3. CSciatic nerve
4. DFacial nerve

Why is a gastrostomy tube with an internal bumper usually advanced and rotated regularly once the tract has healed?

1. ATo make the tube longer as the patient grows or gains weight
2. BTo check that the patient is still hungry
3. CTo remove any feed left in the stomach
4. DTo stop the inner bumper becoming buried in the stomach wall

At the end of an operation, the final count shows one swab missing. What should happen?

1. ATell the surgeon, search, and X-ray if it is not found
2. BLet the patient leave and search the theatre later
3. CClose the wound, as the swab was probably thrown away
4. DRecord the count as correct to avoid a delay

A patient on modified-release morphine for cancer pain has needed four breakthrough doses every day for several days. What should the nurse do?

1. AGive all breakthrough doses at the same time
2. BReport it, as the regular background dose may need review
3. CTell the patient to put up with the pain between doses
4. DStop the breakthrough doses to reduce opioid use