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

What is an incisional hernia?

1. AA swelling in the groin present from birth
2. BA pouch in the wall of the colon
3. CA bulge through a weakened surgical scar
4. DA bulge of stomach through the diaphragm

Why is a feeding tube flushed with water before and after giving medicines?

1. ATo clean the stomach before the next meal
2. BTo warm the tube so it is more comfortable
3. CTo keep it clear and stop drugs mixing with feed
4. DTo check that the patient is not thirsty

Which sign suggests acute cholecystitis?

1. APain that stops a deep breath when the right upper abdomen is pressed
2. BA flapping tremor of the hands when the arms are held out
3. CBruising around the umbilicus and over both flanks of the abdomen
4. DPain in the left lower abdomen when the right side is pressed

Which wound drain observation should be reported immediately?

1. AA sudden large volume of fresh red blood
2. BDrainage slowly falling each day
3. CA little dried blood around the drain site
4. DSmall amounts of pink serous fluid

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

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

After a spinal anaesthetic, which nursing check is particularly important?

1. ABlood glucose every 15 minutes overnight
2. BPeak flow before and after each meal
3. CReturn of leg sensation and movement, and passing urine
4. DPupil reaction every five minutes for the next full day

On day 2 of nasogastric feeding, a severely malnourished patient becomes weak and breathless with ankle swelling. Phosphate is 0,4 mmol/L. What is most likely?

1. ANormal adjustment to the new feed
2. BToo little calorie intake
3. CRefeeding syndrome
4. DAn allergy to the feed formula

In week 5 of radiotherapy, the skin in the treatment field is broken, moist and painful. What should the nurse do?

1. AUse a heat pad to speed healing
2. BApply adhesive tape directly over the area to protect it from clothing
3. CReport it, keep it clean and use a non-adherent dressing
4. DScrub the area with soap to prevent infection