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

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1.Лёгкая

Which skin care advice is usual during external beam radiotherapy?

  1. AScrub the treated area daily to remove the skin marks
  2. BUse perfumed lotions to keep the skin soft
  3. CWash gently with lukewarm water and pat dry
  4. DApply a hot water bottle to soothe the area
2.Лёгкая

Which sign is typical of hepatic encephalopathy?

  1. AA drooping eyelid on one side
  2. BA flapping tremor of the outstretched hands
  3. CA fine rash over the chest and arms
  4. DA stiff neck with sensitivity to light
3.Лёгкая

What is healing by secondary intention?

  1. AA wound that heals without any new tissue
  2. BA wound left open that heals from the base upwards
  3. CA wound closed with sutures straight after surgery
  4. DA wound closed a few days after it was left open
4.Средняя

Which nursing intervention best reduces preoperative anxiety?

  1. AExplaining what will happen and answering questions
  2. BKeeping family members away until after surgery
  3. CAvoiding talking about the operation at all
  4. DTelling the patient that there is nothing to worry about
5.Средняя

Which medicine commonly delays wound healing?

  1. AVitamin C supplements
  2. BParacetamol
  3. CSaline eye drops
  4. DLong-term corticosteroids
6.Средняя

A patient on enteral feeding develops diarrhoea. What should the nurse review first?

  1. AThe colour of the feeding bag label
  2. BThe patient's mobility aids and walking distance
  3. CThe medicine chart, including laxatives and antibiotics
  4. DThe patient's eye drops and skin creams
7.Сложная

A surgical patient's MUST score is 3 and the wound is healing slowly. What is the most appropriate action?

  1. ARefer to the dietitian, start a nutrition plan and monitor intake
  2. BEncourage fasting to reduce wound exudate and the size of the dressing
  3. CRestrict protein to help the kidneys
  4. DRepeat the score in three months' time
8.Сложная

On the ward after surgery, a patient has a red, blistered area of skin under where the diathermy plate was. What should the nurse do?

  1. AWash it with alcohol and leave it uncovered
  2. BTreat it as a possible burn, report it and complete an incident form
  3. CApply a hot water bottle to improve the circulation
  4. DIgnore it because skin changes after surgery are normal and expected to fade

Ответы

  1. 1. C · Wash gently with lukewarm water and pat dry
  2. 2. B · A flapping tremor of the outstretched hands
  3. 3. B · A wound left open that heals from the base upwards
  4. 4. A · Explaining what will happen and answering questions
  5. 5. D · Long-term corticosteroids
  6. 6. C · The medicine chart, including laxatives and antibiotics
  7. 7. A · Refer to the dietitian, start a nutrition plan and monitor intake
  8. 8. B · Treat it as a possible burn, report it and complete an incident form

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