Робочий аркуш «Медсестринство в терапії та хірургії: ШКТ, періопераційний період та онкологія» з відповідями

What is the typical main symptom of gastro-oesophageal reflux disease (GORD)?

1. ACramping pain low in the left side of the abdomen
2. BSharp pain in the right shoulder after meals
3. CPainless yellowing of the skin and eyes
4. DBurning pain behind the breastbone (heartburn)

Which feature is typical of an arterial leg ulcer?

1. AA shallow, wet wound around the ankle with warm, swollen skin
2. BA painless wound on the shin with normal pulses
3. CA blister on the heel with plenty of hair growth
4. DA painful, punched-out wound on a cold, pale foot

Що таке нейтропенія?

1. AВисока кількість лейкоцитів
2. BНизька кількість тромбоцитів
3. CНизька кількість нейтрофілів
4. DНизька кількість еритроцитів

A dying patient can no longer drink. Which mouth care is most appropriate?

1. AFrequent, gentle moistening of the mouth and lips
2. BNo mouth care, to avoid disturbing the patient
3. CLemon and glycerine swabs every hour to stimulate saliva
4. DBrushing hard with a stiff toothbrush twice a day

A patient is starting regular oral morphine. Which bowel advice is most appropriate?

1. AStart a regular laxative at the same time
2. BStop eating fibre completely
3. CWait until there has been no stool for a week
4. DTake a bulk-forming laxative only with very little water

Which advice may help reduce the risk of a parastomal hernia after stoma surgery?

1. AAvoid heavy lifting early on and use support garments as advised
2. BKeep the stoma bag as full as possible
3. CStrain hard on the toilet each day to strengthen the abdominal muscles
4. DDo intensive sit-ups from the first week

On the day after a Hartmann's procedure, the end colostomy is dark purple to black. What should the nurse do?

1. AReport it urgently, as the stoma may be necrotic
2. BRub the stoma to improve its colour
3. CCut a smaller hole in the pouch
4. DRecord it as normal postoperative bruising and recheck it next week

During bowel preparation, an older patient becomes dizzy and confused. Blood tests show sodium 127 mmol/L. What should the nurse do?

1. ARecord it and continue as planned, as this is expected
2. BStop the preparation and escalate to the medical team
3. CEncourage plain water only, as much as possible
4. DGive the rest of the preparation more quickly