Терапия и хирургия: ЖКТ, периоперационный период и онкология: лист заданий с ответами

How is parenteral nutrition given?

1. AInto a vein, usually through a central line
2. BBy mouth as a thick supplement drink
3. CThrough a nasogastric tube into the stomach
4. DInto the muscle of the thigh

At which stage of the WHO Surgical Safety Checklist does the team confirm the patient, site and procedure just before the skin incision?

1. AHandover
2. BSign Out
3. CSign In
4. DTime Out

Why are swabs, sharps and instruments counted during surgery?

1. ATo decide how long the operation took
2. BTo check the stock in the store room
3. CTo prevent items being left inside the patient
4. DTo calculate the cost of the operation

Why are antimotility drugs such as loperamide avoided in C. difficile infection?

1. AThey make the stool sample test positive falsely
2. BThey cause serious liver failure in most patients who take them
3. CThey kill the normal bowel bacteria
4. DThey may keep toxin in the bowel and risk toxic megacolon

Which check is routinely made for a patient with a burn wound?

1. ABlood group of the next of kin
2. BTetanus immunisation status
3. CMeasles vaccination status
4. DVisual acuity in both eyes

Почему таблетки с модифицированным высвобождением или кишечнорастворимой оболочкой могут плохо работать у пациента с илеостомой?

1. AСтома всасывает препарат в кровь слишком быстро
2. BПациенты с илеостомой не могут принимать никакие пероральные лекарства
3. CБыстрый транзит означает, что таблетка может пройти до высвобождения препарата
4. DФерменты илеостомы разрушают любые пероральные лекарства

A patient on warfarin has a major upper GI bleed with an INR of 5. Which treatment should the nurse anticipate to reverse the warfarin?

1. AProtamine sulfate on its own
2. BProthrombin complex concentrate with IV vitamin K
3. COral aspirin to balance the clotting system quickly
4. DMore warfarin to stabilise the INR

A nurse teaches a patient with GORD. Which statement shows a need for further teaching?

1. A"I'll keep a diary of foods that trigger my symptoms."
2. B"I'll try to lose some weight over the next months."
3. C"I'll stop smoking because it makes reflux worse."
4. D"Peppermint tea after dinner will settle my reflux."