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

What is healing by secondary intention?

1. AA wound closed with sutures straight after surgery
2. BA wound closed a few days after it was left open
3. CA wound that heals without any new tissue
4. DA wound left open that heals from the base upwards

Хто має натискати кнопку помпи контрольованої пацієнтом аналгезії (PCA)?

1. AЛише пацієнт
2. BРодич, поки пацієнт спить
3. CМедсестра, на початку кожної зміни
4. DБудь-який відвідувач, якого попросить пацієнт

Which signs suggest a surgical site infection?

1. AIncreasing pain, redness, swelling, heat and pus
2. BMild bruising around the wound that is fading a little each day
3. CMild itching as the wound heals
4. DA dry wound edge with a thin scab

What is the main treatment for a venous leg ulcer with an adequate arterial supply?

1. ACompression therapy
2. BKeeping the leg hanging down all day
3. CSurgery to amputate the limb
4. DStrong oral antibiotics for all ulcers

Which liver function test pattern suggests bile duct obstruction?

1. AHigh bilirubin with a markedly raised ALP and GGT
2. BVery high ALT with a normal bilirubin only
3. CA low albumin with all other results normal
4. DNormal bilirubin with a low ALP and low GGT

Which instruction is important during bowel preparation for colonoscopy?

1. AEat a high-fibre meal the evening before the test
2. BAvoid all fluids for 24 hours before the test
3. CDrink plenty of clear fluids while taking the preparation
4. DTake the preparation only if the bowels have not opened

A patient with cirrhosis takes spironolactone and furosemide. Which blood result should the nurse report before the next dose?

1. ASodium 141 mmol/L
2. BPotassium 6,0 mmol/L
3. CPotassium 4,2 mmol/L
4. DSodium 138 mmol/L

A patient on immunotherapy for melanoma has six watery stools a day and abdominal cramps. What should the nurse do?

1. AGive loperamide and review next week
2. BAdvise eating more fibre and fruit to firm up the stools
3. CReassure that diarrhoea is normal and harmless
4. DEscalate urgently, as immune-related colitis is likely