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

Which signs suggest early hypovolaemic shock after surgery?

1. AHigh blood pressure with a fast, bounding pulse
2. BRising heart rate, cool skin and slow capillary refill
3. CNormal pulse with heavy sweating only after meals
4. DSlow heart rate, flushed skin and warm hands

Which features are typical of a superficial partial-thickness burn?

1. ABlisters, a moist pink base and severe pain
2. BRedness only, with no blisters, like sunburn
3. CCharred skin with exposed muscle and bone
4. DDry, white, leathery skin with no pain

A patient receiving external beam radiotherapy asks whether they are radioactive. What is correct?

1. AYes, for one month after each session
2. BNo, they are not radioactive and can be with family
3. COnly their clothes are radioactive afterwards
4. DYes, so they must avoid all contact with children and pregnant women

Opioid alan bir hastanın daha fazla sedatize olması neden önemlidir?

1. ASedasyon, artık daha yüksek doza gereksinim olduğu anlamına gelir
2. BSedasyon, ağrının artık tamamen ve güvenle kontrol edildiği anlamına gelir
3. CSedasyon tüm opioidlerin zararsız ve beklenen bir etkisidir
4. DArtan sedasyon genellikle solunum depresyonundan önce gelir

Why is the Lund and Browder chart preferred to the rule of nines for children?

1. AIt is used only for burns of the hands
2. BIt adjusts for body proportions that change with age
3. CIt counts superficial burns as well
4. DIt is faster to use than any other method of estimation

Which is a usual benefit of laparoscopic over open abdominal surgery?

1. ANo need for a general anaesthetic ever
2. BLarger wounds that heal faster
3. CNo risk of any complications at all
4. DLess pain and a shorter hospital stay

A patient with diabetes has rapidly spreading redness around a small wound, severe pain out of proportion, fever and crackling under the skin. What should the nurse suspect?

1. AMild contact dermatitis
2. BA healing venous ulcer
3. CA simple insect bite
4. DNecrotising fasciitis

A nurse teaches a patient to self-inject low molecular weight heparin at home. Which statement shows a need for further teaching?

1. A"I'll report any unusual bruising or bleeding."
2. B"I'll change the injection site each day."
3. C"I'll put the used syringe in the sharps bin."
4. D"I'll rub the area afterwards to spread the medicine."