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

What does standard H. pylori eradication therapy usually combine?

1. ATwo NSAIDs and a stimulant laxative for one month
2. BA steroid and an antiviral drug
3. CAn antacid and a single antifungal drug
4. DA proton pump inhibitor and two antibiotics

Чому при захворюваннях печінки розвивається жовтяниця?

1. AЖовтий пігмент з їжі відкладається в шкірі
2. BНирки виробляють забагато сечовини для організму
3. CБілірубін накопичується, бо печінка не може його вивести
4. DПечінка виробляє забагато еритроцитів одразу

What is a keloid scar?

1. AA wound that will not close at all
2. BA flat, pale scar that fades and softens over time
3. CA raised scar that grows beyond the edges of the wound
4. DA scar that forms only on the inside of the body

A patient on warfarin is booked for elective surgery with a high bleeding risk. What is usual practice?

1. ASwap to aspirin on the morning of surgery
2. BDouble the dose for a week so the blood is ready for surgery
3. CStop it about 5 days before and check the INR
4. DTake the usual dose on the morning of surgery

After laparoscopic cholecystectomy, a patient has pain in the right shoulder. What is the most likely cause?

1. AGas used during surgery irritating the diaphragm
2. BAn allergy to the dressing on the wound
3. CA dislocated shoulder from patient positioning
4. DA heart attack during the operation

During the first infusion of a monoclonal antibody such as rituximab, which problem is most important to watch for?

1. AAn infusion reaction, such as fever, rigors or breathlessness
2. BSevere constipation within the first hour of starting the infusion
3. CSudden hair loss during the infusion
4. DA rise in platelet count above normal

A patient is booked for a urea breath test for H. pylori. Which medicine should usually be stopped 2 weeks before the test?

1. AAmlodipine
2. BOmeprazole
3. CLevothyroxine
4. DParacetamol (acetaminophen)

A competent adult who is a Jehovah's Witness refuses blood transfusion before major surgery. What should the nurse do?

1. ACancel the surgery without discussing it
2. BPlan to transfuse secretly during the operation if it becomes needed
3. CRespect the decision, document it and inform the team
4. DAsk the family to override the decision