Choroby wewnętrzne i chirurgiczne: przewód pokarmowy, okres okołooperacyjny i onkologia: karta pracy z odpowiedziami
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Imię: ____________________ Data: ____________
1.Łatwy
Why is a temporary loop ileostomy often formed after a low bowel resection?
ATo drain urine from the kidneys
BTo divert stool while the join further down heals
CTo let the patient eat without chewing
DTo remove the whole colon permanently in a single operation
2.Łatwy
What is healing by secondary intention?
AA wound closed a few days after it was left open
BA wound closed with sutures straight after surgery
CA wound left open that heals from the base upwards
DA wound that heals without any new tissue
3.Łatwy
What is slough in a wound?
AA thick, hard black crust
BRed, healthy granulation tissue
CPink, new skin at the wound edge
DYellow, soft, stringy dead tissue
4.Średni
How are skin staples usually removed from a healed incision?
AThe staples are left in permanently under the skin
BOnly the staples at each end, leaving the others for good
CAll staples at once by pulling each one straight up from the skin
DAlternate staples first, then the rest if the wound holds
5.Średni
A nasogastric feeding tube appears blocked. What is usually the first step?
ACut the end of the tube to release the blockage inside it
BPush the guidewire back in to clear it
CUse a small 5 mL syringe with firm pressure
DFlush gently with warm water in a 50 mL enteral syringe
6.Średni
Która faza gojenia rany obejmuje tworzenie tkanki ziarninowej i nowych naczyń krwionośnych?
AFaza proliferacyjna
BFaza hemostazy (krzepnięcia)
CFaza dojrzewania
DFaza zapalna
7.Trudny
A nurse teaches a patient after a laparoscopic fundoplication for reflux. Which statement shows a need for further teaching?
A"I'll eat soft, moist food at first and chew it well."
B"I should eat smaller meals for a while after the operation."
C"Some difficulty swallowing can happen in the early weeks."
D"Fizzy drinks will help me bring up wind after meals."
8.Trudny
In week 5 of radiotherapy, the skin in the treatment field is broken, moist and painful. What should the nurse do?
AApply adhesive tape directly over the area to protect it from clothing
BReport it, keep it clean and use a non-adherent dressing
CScrub the area with soap to prevent infection
DUse a heat pad to speed healing
Klucz odpowiedzi
1. B · To divert stool while the join further down heals
2. C · A wound left open that heals from the base upwards
3. D · Yellow, soft, stringy dead tissue
4. D · Alternate staples first, then the rest if the wound holds
5. D · Flush gently with warm water in a 50 mL enteral syringe
6. A · Faza proliferacyjna
7. D · "Fizzy drinks will help me bring up wind after meals."
8. B · Report it, keep it clean and use a non-adherent dressing
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