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

How does the pain of acute appendicitis typically progress?

1. AIt starts around the umbilicus, then moves to the right lower abdomen
2. BIt starts in the left lower abdomen, then spreads to the back
3. CIt starts in the right shoulder, then moves to the chest
4. DIt stays in the upper abdomen and eases after meals

What is a keloid scar?

1. AA scar that forms only on the inside of the body
2. BA flat, pale scar that fades and softens over time
3. CA wound that will not close at all
4. DA raised scar that grows beyond the edges of the wound

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

1. APulling the hairs out with tweezers
2. BA wax strip several days before surgery
3. CElectric clippers on the day of surgery
4. DA razor shave the night before surgery

Jaka jest rola ograniczenia sodu i spironolaktonu w marskości?

1. APodniesienie ciśnienia krwi i poprawa przepływu krwi przez nerki
2. BZwiększenie utraty potasu i zapobieganie hiperkaliemii
3. CZmniejszenie zatrzymania sodu i wody oraz kontrola wodobrzusza
4. DObniżenie amoniaku we krwi i leczenie encefalopatii

A patient takes co-codamol at home (a combination tablet sold under different names in different countries). Why should the nurse check this before giving regular paracetamol (acetaminophen)?

1. ACo-codamol must be stopped a week before any paracetamol
2. BParacetamol and codeine cause a severe allergic reaction when combined
3. CCo-codamol stops paracetamol from working
4. DIt already contains paracetamol, so overdose could occur

How should a patient use an incentive spirometer after surgery?

1. AUse it once a day, just before going to sleep at night
2. BBreathe quickly in and out ten times in a row
3. CBreathe in slowly and deeply, then hold briefly
4. DBlow out as hard and as fast as possible

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

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

W 3. dobie po operacji biodra starszy pacjent staje się ostro splątany, z wahaniami uwagi i pobudzeniem. Co pielęgniarka powinna zrobić w pierwszej kolejności?

1. APoprosić rodzinę o zabranie pacjenta do domu, aby się uspokoił
2. BZałożyć, że to demencja, i kontynuować plan opieki bez zmian
3. CPoszukać przyczyn, takich jak hipoksja, zakażenie, ból lub leki, i eskalować
4. DUnieruchomić pacjenta i od razu podać dużą dawkę środka uspokajającego