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

If hair must be removed before surgery, which method is recommended?

1. AA wax strip several days before surgery
2. BElectric clippers on the day of surgery
3. CA razor shave the night before surgery
4. DPulling the hairs out with tweezers

What does "coffee-ground" vomit usually indicate?

1. ABile coming back from an obstructed small bowel
2. BBlood that has been partly digested by stomach acid
3. CA side effect of drinking strong coffee
4. DUndigested food from several days ago

Which bedside test is commonly used to check for postoperative urinary retention?

1. AA 12-lead ECG
2. BA bladder ultrasound scan
3. CA chest X-ray
4. DA blood glucose test

Which patient is at highest risk of refeeding syndrome?

1. AAn underweight patient who has eaten very little for 10 days
2. BA patient who missed one lunch because of a scan
3. CA patient with a normal BMI eating three meals a day
4. DA healthy adult after an overnight fast for minor surgery

A nasogastric feeding tube appears blocked. What is usually the first step?

1. AFlush gently with warm water in a 50 mL enteral syringe
2. BCut the end of the tube to release the blockage inside it
3. CUse a small 5 mL syringe with firm pressure
4. DPush the guidewire back in to clear it

Why are many patients screened for MRSA before planned surgery?

1. ATo decide which anaesthetic drug to use
2. BTo check whether the patient has had a flu vaccine
3. CSo that carriers can be decolonised to reduce infection
4. DSo that surgery can be cancelled for all positive patients

A patient who takes NSAIDs suddenly develops severe epigastric pain, a rigid abdomen and shoulder-tip pain. Which finding would most support the likely diagnosis?

1. AFluid levels in the bladder on an ultrasound scan
2. BFree air under the diaphragm on an erect chest X-ray
3. CA raised serum lipase three times the upper limit
4. DTall, peaked T waves on a 12-lead ECG

W 2. dobie po operacji w górnej części jamy brzusznej pacjent ma temperaturę 37,8 °C, SpO₂ 93% na powietrzu i osłabione szmery oddechowe nad obiema podstawami. Nie używał spirometru motywującego z powodu bólu. Jaki plan pielęgniarski jest najodpowiedniejszy?

1. APodanie tlenu 15 L/min i pozostawienie pacjenta w spokoju
2. BUtrzymywanie pacjenta w łóżku i ograniczanie ruchu do ustąpienia gorączki
3. COdstawienie wszelkiej analgezji, aby pacjent mógł mocniej kaszleć
4. DLepsza kontrola bólu, siadanie, głębokie oddychanie, uruchamianie i zgłoszenie stanu