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

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Imię: ____________________   Data: ____________

1.Łatwy

What is a Hartmann's procedure?

  1. ARemoval of part of the colon with an end colostomy and rectal stump
  2. BPlacing a stent in the bile duct
  3. CJoining the stomach directly to the small bowel
  4. DRemoval of the gallbladder through several small abdominal incisions
2.Łatwy

What is cancer cachexia?

  1. AWeight gain caused by steroid treatment
  2. BSevere loss of weight and muscle that diet alone does not reverse
  3. CA skin rash from radiotherapy
  4. DA fever that occurs after every chemotherapy cycle and lasts several days
3.Łatwy

What is healing by secondary intention?

  1. AA wound closed a few days after it was left open
  2. BA wound left open that heals from the base upwards
  3. CA wound that heals without any new tissue
  4. DA wound closed with sutures straight after surgery
4.Średni

Which practice is correct when giving parenteral nutrition through a central line?

  1. AUse a dedicated lumen and strict aseptic technique
  2. BLet the bag hang at room temperature for several days
  3. CGive other IV drugs through the same lumen to save time
  4. DDisconnect and reconnect the line without cleaning the hub
5.Średni

Aspirate from a nasogastric tube has a pH of 7. What should the nurse do?

  1. AGive the medicines but not the feed
  2. BDo not use it; re-test later or arrange an X-ray as per policy
  3. CFlush with 50 mL of air and start the feed
  4. DStart the feed slowly and watch the patient closely for coughing
6.Średni

Które zaburzenie elektrolitowe może wystąpić w ciężkim ostrym zapaleniu trzustki?

  1. AHipokalcemia
  2. BHiperkalcemia
  3. CHipernatremia
  4. DHiperkaliemia
7.Trudny

Hours after an oesophageal dilatation, a patient has chest pain, fever and crackling swelling under the skin of the neck. What should the nurse suspect?

  1. AOesophageal perforation
  2. BNormal discomfort after the procedure
  3. CSimple reflux after the dilatation
  4. DAn allergic reaction to the sedative
8.Trudny

Which group of signs suggests that a patient is entering the last days of life?

  1. AHigh blood pressure and very fast weight gain
  2. BRising appetite, more energy and normal skin colour and warmth
  3. CClearer thinking and increased movement
  4. DReduced intake, mottled skin and changes in breathing

Klucz odpowiedzi

  1. 1. A · Removal of part of the colon with an end colostomy and rectal stump
  2. 2. B · Severe loss of weight and muscle that diet alone does not reverse
  3. 3. B · A wound left open that heals from the base upwards
  4. 4. A · Use a dedicated lumen and strict aseptic technique
  5. 5. B · Do not use it; re-test later or arrange an X-ray as per policy
  6. 6. A · Hipokalcemia
  7. 7. A · Oesophageal perforation
  8. 8. D · Reduced intake, mottled skin and changes in breathing

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