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

Which skin care advice is usual during external beam radiotherapy?

1. AScrub the treated area daily to remove the skin marks
2. BUse perfumed lotions to keep the skin soft
3. CWash gently with lukewarm water and pat dry
4. DApply a hot water bottle to soothe the area

How does the pain of acute appendicitis typically progress?

1. AIt starts in the right shoulder, then moves to the chest
2. BIt stays in the upper abdomen and eases after meals
3. CIt starts around the umbilicus, then moves to the right lower abdomen
4. DIt starts in the left lower abdomen, then spreads to the back

What is pulmonary aspiration?

1. AA collapsed lung after a chest drain
2. BInhaling stomach contents or other material into the lungs
3. CRemoving fluid from the chest with a needle through the ribs
4. DBreathing too fast after surgery

What does "neoadjuvant" treatment mean?

1. ATreatment that is given instead of any surgery
2. BTreatment that is given only after the cancer has already spread
3. CTreatment given only for pain relief
4. DTreatment before the main treatment, often to shrink the tumour

A patient on enteral feeding develops diarrhoea. What should the nurse review first?

1. AThe medicine chart, including laxatives and antibiotics
2. BThe patient's mobility aids and walking distance
3. CThe patient's eye drops and skin creams
4. DThe colour of the feeding bag label

Which presentation fits acute diverticulitis?

1. ALeft lower abdominal pain, fever and a raised CRP
2. BRight upper abdominal pain after fatty meals
3. CPainless jaundice with a palpable gallbladder
4. DCentral chest pain spreading to the left arm

A patient taking IV antibiotics has three unexplained loose stools in 24 hours. What should the nurse do first?

1. AIsolate the patient and send a stool sample for testing
2. BGive loperamide after each loose stool and continue as usual
3. CWait two days to see if the diarrhoea settles
4. DMove the patient to a bay with other patients to watch them closely

A patient who takes NSAIDs suddenly develops severe epigastric pain, a rigid abdomen and shoulder-tip pain. Which finding would most support the likely diagnosis?

1. ATall, peaked T waves on a 12-lead ECG
2. BFluid levels in the bladder on an ultrasound scan
3. CFree air under the diaphragm on an erect chest X-ray
4. DA raised serum lipase three times the upper limit