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

What is a PICC line?

1. AA catheter placed in the bladder through the lower abdominal wall
2. BA central venous catheter inserted through a vein in the arm
3. CA tube inserted into the stomach through the abdomen
4. DA short cannula in a vein on the back of the hand

Why does chemotherapy often affect the bone marrow, gut lining and hair?

1. AThese tissues store the chemotherapy drugs
2. BThese tissues have no blood supply
3. CThese tissues are the main sites of cancer
4. DThese tissues contain rapidly dividing cells

Which drug reverses the effects of opioids?

1. ANaloxone
2. BFlumazenil
3. CVitamin K
4. DProtamine

Which lung problem is a known toxicity of bleomycin?

1. AAsthma from pollen
2. BPulmonary fibrosis
3. CLung cancer within weeks
4. DPneumothorax from coughing

Which is a recognised side effect of ondansetron?

1. AHair loss
2. BConstipation
3. CSevere hypoglycaemia
4. DHearing loss

During the first infusion of a monoclonal antibody such as rituximab, which problem is most important to watch for?

1. ASevere constipation within the first hour of starting the infusion
2. BSudden hair loss during the infusion
3. CA rise in platelet count above normal
4. DAn infusion reaction, such as fever, rigors or breathlessness

During preoperative assessment, a patient says their brother had a "very high fever" during an anaesthetic. What is the most important action?

1. AInform the anaesthetist, as malignant hyperthermia may run in the family
2. BRecord it as a family allergy to paracetamol
3. CReassure the patient that fevers after anaesthesia are always harmless
4. DGive paracetamol before surgery to prevent fever

During radiotherapy to the chest, a patient develops pain on swallowing and is eating less. What is the most likely cause and nursing focus?

1. ARadiation oesophagitis; analgesia, soft food and nutrition support
2. BA stomach ulcer; give an antacid after meals only
3. CNormal ageing; no action needed
4. DA heart attack; give aspirin and arrange an ECG