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

What is diverticulosis?

1. AInflammation of the whole small bowel wall
2. BA tumour growing inside the rectum
3. CA twist of the sigmoid colon on itself
4. DSmall pouches in the wall of the colon

Яка ознака типова для опіку на всю товщу шкіри?

1. AШкірясті, білі або коричневі ділянки шкіри, безболісні
2. BВолога рожева шкіра з великими болючими пухирями
3. CЧервона болюча шкіра без пухирів, як при сонячному опіку
4. DШкіра, що блідне при натисканні та загоюється за кілька днів

Як виглядає здорова стома?

1. AСуха та чорна
2. BФіолетова чи тьмяна й суха
3. CБліда та холодна
4. DВолога та червона або рожева

Which change suggests that a burn wound is becoming infected?

1. ALess exudate on each dressing change
2. BDry, healing skin with mild itching
3. CA partial-thickness burn becoming deeper, with new discolouration
4. DThe wound becoming pink and a little smaller at each dressing change

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

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

Which is correct when caring for a patient with a PICC line?

1. ALeave the external length unchecked once it is placed
2. BFlush the line only when it blocks
3. CAvoid taking blood pressure on the arm with the line
4. DUse the PICC arm for heavy lifting to keep it flexible

Six hours after surgery, a patient has not passed urine, has lower abdominal discomfort and a bladder scan shows 750 mL. What should the nurse do?

1. AWait another twelve hours before acting
2. BRestrict fluids until the urge returns
3. CCatheterise as per protocol or prescription
4. DGive a diuretic to increase urine flow

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. AAn allergy to the feed formula
2. BNormal adjustment to the new feed
3. CToo little calorie intake
4. DRefeeding syndrome