Choroby wewnętrzne i chirurgiczne: przewód pokarmowy, okres okołooperacyjny i onkologia: karta pracy z odpowiedziami
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Imię: ____________________ Data: ____________
1.Łatwy
What is pulmonary aspiration?
ABreathing too fast after surgery
BA collapsed lung after a chest drain
CInhaling stomach contents or other material into the lungs
DRemoving fluid from the chest with a needle through the ribs
2.Łatwy
Using the rule of nines in an adult, what percentage is the whole front of the trunk?
A27%
B36%
C9%
D18%
3.Łatwy
Which signs suggest a surgical site infection?
AIncreasing pain, redness, swelling, heat and pus
BMild bruising around the wound that is fading a little each day
CA dry wound edge with a thin scab
DMild itching as the wound heals
4.Średni
Which lung problem is a known toxicity of bleomycin?
AAsthma from pollen
BPneumothorax from coughing
CPulmonary fibrosis
DLung cancer within weeks
5.Średni
How should pancreatic enzyme replacement capsules usually be taken?
AOne hour after meals, on an empty stomach
BOnce a day at bedtime
CWith every meal and snack
DOnly on days with abdominal pain
6.Średni
A routine wound swab grows bacteria, but the wound shows no signs of infection. What does this usually mean?
AThe wound is colonised; antibiotics are not usually needed
BThe swab result means the wound is infected
CThe patient needs IV antibiotics straight away, whatever the wound looks like
DThe wound must be closed with sutures again
7.Trudny
After surgery, a patient keeps asking for analgesia before it is due, watches the clock and rates pain 8/10. What is the most appropriate interpretation?
AThe patient is addicted and should have analgesia withheld
BPain may be undertreated; reassess and ask for a review of the plan
CThe patient is exaggerating, so the pain scores should be ignored for now
DThe patient needs only distraction and no change in drugs
8.Trudny
A patient with facial burns from a house fire was talking normally on arrival. Two hours later, the voice is hoarse and there is stridor. What should the nurse do?
AEncourage the patient to rest the voice and reassess tomorrow
BLay the patient flat to help them sleep
CGive a warm drink to soothe the throat
DCall for urgent anaesthetic help, as the airway is swelling
Klucz odpowiedzi
1. C · Inhaling stomach contents or other material into the lungs
2. D · 18%
3. A · Increasing pain, redness, swelling, heat and pus
4. C · Pulmonary fibrosis
5. C · With every meal and snack
6. A · The wound is colonised; antibiotics are not usually needed
7. B · Pain may be undertreated; reassess and ask for a review of the plan
8. D · Call for urgent anaesthetic help, as the airway is swelling
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