Cevaplı Dahili-cerrahi: sindirim sistemi, perioperatif ve onkoloji çalışma kâğıdı

Why are pressure garments worn after burns heal?

1. ATo reduce raised, thick scarring
2. BTo hide the scars from other people
3. CTo keep the patient warm in winter
4. DTo prevent infection of the healed skin

Using the rule of nines in an adult, what percentage is the whole head and neck?

1. A1%
2. B18%
3. C9%
4. D4,5%

Nötropeni nedir?

1. ADüşük nötrofil sayısı
2. BDüşük kırmızı hücre sayısı
3. CYüksek beyaz hücre sayısı
4. DDüşük trombosit sayısı

What is TENS?

1. AA strong opioid given through the skin as a weekly adhesive patch
2. BA type of epidural catheter inserted in theatre
3. CA pain score used for babies
4. DA device that sends mild electrical pulses through skin pads

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

Why is a gastrostomy tube with an internal bumper usually advanced and rotated regularly once the tract has healed?

1. ATo check that the patient is still hungry
2. BTo remove any feed left in the stomach
3. CTo stop the inner bumper becoming buried in the stomach wall
4. DTo make the tube longer as the patient grows or gains weight

Yüksek dereceli lenfoma için kemoterapi başladıktan iki gün sonra bir hastanın idrar çıkışı azalıyor; potasyum 6,4 mmol/L, fosfat yüksek ve kalsiyum düşüktür. Hemşire ne düşünmeli ve ne yapmalıdır?

1. ATümör lizis sendromu: üst basamağa bildirmeli, kardiyak izlem başlatmalı ve IV sıvı beklemelidir
2. BBeklenen kemoterapi yan etkileri: bir sonraki küre kadar işlem gerekmez
3. CBasit dehidratasyon: oral sıvıları teşvik etmeli ve kan tetkiklerini gelecek hafta yeniden kontrol etmelidir
4. DAlerjik reaksiyon: antihistaminik vermeli ve her zamanki gibi sürdürmelidir

A dying patient has noisy, rattling breathing. The patient seems unaware, but the family is distressed. What is the best nursing approach?

1. AGive large volumes of IV fluid to loosen and thin the secretions
2. BPerform deep suction every hour
3. CAsk the family to leave the room
4. DReposition, explain the cause and give prescribed drugs if needed