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

Where should a diathermy return electrode (plate) be placed?

1. AOver a bony area such as the hip bone
2. BOn clean, dry skin over a well-perfused muscle
3. COver a metal joint replacement
4. DOn skin covered with spirit-based prep that is still wet

Which signs suggest early hypovolaemic shock after surgery?

1. AHigh blood pressure with a fast, bounding pulse
2. BNormal pulse with heavy sweating only after meals
3. CSlow heart rate, flushed skin and warm hands
4. DRising heart rate, cool skin and slow capillary refill

Which feature is typical of an arterial leg ulcer?

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

Which advice may help reduce the risk of a parastomal hernia after stoma surgery?

1. ADo intensive sit-ups from the first week
2. BKeep the stoma bag as full as possible
3. CStrain hard on the toilet each day to strengthen the abdominal muscles
4. DAvoid heavy lifting early on and use support garments as advised

Which statement about fatigue during radiotherapy is correct?

1. AIt often builds during the course and can last for weeks
2. BIt occurs only after the first session and then disappears completely
3. CIt means the radiotherapy has failed
4. DIt is caused by the patient becoming radioactive

Which group of findings suggests obstruction of the bile duct?

1. APale urine, dark stools and a flapping tremor
2. BNormal skin colour with diarrhoea and fever
3. CJaundice, dark urine, pale stools and itching
4. DRed urine, black stools and a high blood glucose

Two days after surgery, a patient on regular ibuprofen has a low urine output and a rising creatinine, and intake has been poor. What should the nurse do?

1. AWithhold the next dose and report to the prescriber
2. BIncrease the dose to treat the pain better and encourage fluids
3. CChange to a higher-strength NSAID tablet
4. DGive the next dose with extra food

Which new prescription for a patient with cirrhosis should the nurse question?

1. ALactulose to keep the bowels open
2. BRegular ibuprofen for back pain
3. CSpironolactone for ascites
4. DThiamine supplements