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

Який аналіз крові зазвичай використовують для діагностики гострого панкреатиту?

1. AЛіпаза або амілаза понад 3 рази вище норми
2. BБілірубін більш ніж утричі вище верхньої межі норми
3. CРівень тиреотропного гормону
4. DТропонін вище 99-го процентиля

Which preoperative allergy must be communicated so that theatre equipment can be changed?

1. ACat hair allergy
2. BPollen allergy
3. CHouse dust mite allergy
4. DLatex allergy

Which exercises are usually taught to patients before major surgery?

1. ADeep breathing, coughing and leg exercises
2. BHeavy weightlifting to build strength
3. CLong-distance running every day
4. DHolding the breath for as long as possible

Which practice is correct when giving parenteral nutrition through a central line?

1. ALet the bag hang at room temperature for several days
2. BUse a dedicated lumen and strict aseptic technique
3. CDisconnect and reconnect the line without cleaning the hub
4. DGive other IV drugs through the same lumen to save time

Why are antiemetics usually given before chemotherapy starts?

1. AThey stop the chemotherapy from causing hair loss and mouth sores
2. BThey cannot be given once nausea has started
3. CAntiemetics make the chemotherapy work better
4. DPreventing nausea works better than treating it later

What is the most important safety point about misoprostol?

1. AIt causes severe constipation in most patients
2. BIt can cause miscarriage and must not be used in pregnancy
3. CIt strongly raises blood glucose in people with diabetes
4. DIt must be given only by deep intramuscular injection

A patient on warfarin has a major upper GI bleed with an INR of 5. Which treatment should the nurse anticipate to reverse the warfarin?

1. AMore warfarin to stabilise the INR
2. BOral aspirin to balance the clotting system quickly
3. CProtamine sulfate on its own
4. DProthrombin complex concentrate with IV vitamin K

A 62-year-old with known reflux reports burning central chest pain with sweating and breathlessness that began while walking. What should the nurse do first?

1. ABook a routine endoscopy for later in the week
2. BGive an antacid and reassess the pain in an hour
3. CRecord a 12-lead ECG and escalate as possible cardiac pain
4. DAdvise the patient to avoid spicy food at future meals