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

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Imię: ____________________   Data: ____________

1.Łatwy

Which feature is typical of an arterial leg ulcer?

  1. AA painful, punched-out wound on a cold, pale foot
  2. BA shallow, wet wound around the ankle with warm, swollen skin
  3. CA blister on the heel with plenty of hair growth
  4. DA painless wound on the shin with normal pulses
2.Łatwy

What is the main purpose of a biopsy when cancer is suspected?

  1. ATo give chemotherapy directly into the tumour
  2. BTo measure the patient's blood count
  3. CTo confirm the diagnosis by examining tissue
  4. DTo remove all the cancer at once
3.Łatwy

Kto powinien naciskać przycisk pompy analgezji kontrolowanej przez pacjenta (PCA)?

  1. APielęgniarka, na początku każdej zmiany
  2. BDowolny gość, o którego poprosi pacjent
  3. CTylko pacjent
  4. DCzłonek rodziny, gdy pacjent śpi
4.Średni

Why are many patients screened for MRSA before planned surgery?

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

Why is a pregnancy test often done before surgery in women who could be pregnant?

  1. APregnancy always makes surgery impossible
  2. BAnaesthesia, drugs and some tests may harm a fetus
  3. CPregnant women cannot sign consent forms
  4. DIt is needed to calculate the anaesthetic drug dose
6.Średni

Why is pethidine (meperidine) generally avoided for regular pain relief?

  1. AIt can only be given by mouth
  2. BIt has no pain-relieving effect at all in adults
  3. CIt always causes severe diarrhoea
  4. DA metabolite can build up and cause seizures
7.Trudny

A patient finds daily wound dressing changes very painful. What is the most effective nursing approach?

  1. AGive analgesia timed so it works during the dressing change
  2. BDo the dressing quickly and give analgesia afterwards
  3. CChange the dressing less often than the plan says
  4. DAvoid analgesia so the patient can report any problems during the change
8.Trudny

A patient asks whether to take their usual bisoprolol on the morning of surgery. What is the usual guidance?

  1. ATake a double dose to protect the heart
  2. BUsually continue it with a sip of water, unless told otherwise
  3. CTake it only after the operation is finished
  4. DStop it one week before any operation

Klucz odpowiedzi

  1. 1. A · A painful, punched-out wound on a cold, pale foot
  2. 2. C · To confirm the diagnosis by examining tissue
  3. 3. C · Tylko pacjent
  4. 4. C · So that carriers can be decolonised to reduce infection
  5. 5. B · Anaesthesia, drugs and some tests may harm a fetus
  6. 6. D · A metabolite can build up and cause seizures
  7. 7. A · Give analgesia timed so it works during the dressing change
  8. 8. B · Usually continue it with a sip of water, unless told otherwise

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