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

How is hepatitis B mainly spread?

1. AOnly by coughing and sneezing
2. BThrough touching door handles and shaking hands
3. COnly by eating undercooked shellfish from polluted water
4. DThrough blood, sexual contact and from mother to baby

When should pain be reassessed after giving analgesia?

1. ANever, as one assessment is enough
2. BOnly if the patient asks for more analgesia
3. CWhen the drug is expected to have taken effect
4. DOnly at the next routine observation round the next day

What is a carcinoma?

1. AA cancer arising from bone or muscle
2. BA cancer of white blood cells
3. CA benign growth of fatty tissue
4. DA cancer arising from epithelial cells

Why might a patient's platelet count be monitored while they receive heparin?

1. ATo measure the heparin dose in the blood exactly
2. BTo see whether the patient has an infection
3. CTo detect heparin-induced thrombocytopenia
4. DTo check whether the heparin is causing anaemia

Why do patients with major burns lose so much fluid in the first 24–48 hours?

1. APatients drink far too little in hospital in the first days
2. BThe burned skin absorbs fluid from the air
3. CThe kidneys stop making urine completely
4. DLeaky capillaries let plasma move into the tissues

Before an anti-TNF biologic such as infliximab is started for Crohn's disease, which screening is essential?

1. AA test of colour vision
2. BA test for coeliac disease
3. CA bone density scan
4. DScreening for tuberculosis

Periferik kanülden IV vinkristin infüzyonu sırasında hasta yanma bildiriyor ve bölge şişmiştir. Hemşire önce ne yapmalıdır?

1. Aİnfüzyonu durdurmalı, kanülü aspirasyon için yerinde bırakmalı ve politikayı izlemelidir
2. BKanülü hemen çıkarmalı ve ilacı yaymak için bölgeye masaj yapmalıdır
3. CKalan ilacı vene itmek için kanülü serum fizyolojikle yıkamalıdır
4. Dİnfüzyonu daha yavaş sürdürmeli ve bölgeye buz paketi uygulamalıdır

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

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