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

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Imię: ____________________   Data: ____________

1.Łatwy

Why does a low serum albumin contribute to oedema?

  1. AIt lowers oncotic pressure, so fluid leaks into tissues
  2. BIt blocks the lymph vessels in the abdomen
  3. CIt causes the heart to pump more blood into the legs
  4. DIt raises blood pressure and pushes fluid into the kidneys
2.Łatwy

What is abdominal paracentesis?

  1. ARemoval of the gallbladder through several small abdominal incisions
  2. BDraining fluid from the abdominal cavity with a needle or drain
  3. CA camera test of the lining of the large bowel
  4. DInjection of dye into a vein in the arm
3.Łatwy

Why is a temporary loop ileostomy often formed after a low bowel resection?

  1. ATo remove the whole colon permanently in a single operation
  2. BTo divert stool while the join further down heals
  3. CTo let the patient eat without chewing
  4. DTo drain urine from the kidneys
4.Średni

Which neutrophil count indicates severe neutropenia?

  1. ABelow 0,5 × 109/L
  2. BBelow 7,5 × 109/L
  3. CAbove 2,0 × 109/L
  4. DAbove 10 × 109/L
5.Średni

Which is a usual benefit of laparoscopic over open abdominal surgery?

  1. ALess pain and a shorter hospital stay
  2. BLarger wounds that heal faster
  3. CNo risk of any complications at all
  4. DNo need for a general anaesthetic ever
6.Średni

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

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

A patient with three fractured ribs is taking shallow breaths because of pain. Why is effective analgesia a priority?

  1. APain relief is only needed for the patient's comfort
  2. BRib pain always means the heart is damaged
  3. CGood analgesia makes rib fractures heal fully within a few days
  4. DShallow breathing can lead to atelectasis and pneumonia
8.Trudny

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

Klucz odpowiedzi

  1. 1. A · It lowers oncotic pressure, so fluid leaks into tissues
  2. 2. B · Draining fluid from the abdominal cavity with a needle or drain
  3. 3. B · To divert stool while the join further down heals
  4. 4. A · Below 0,5 × 109/L
  5. 5. A · Less pain and a shorter hospital stay
  6. 6. A · To stop the inner bumper becoming buried in the stomach wall
  7. 7. D · Shallow breathing can lead to atelectasis and pneumonia
  8. 8. B · Report it, as the regular background dose may need review

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