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

Яка ознака типова для опіку на всю товщу шкіри?

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

What is the main aim of palliative care?

1. AImproving quality of life for people with serious illness
2. BOnly providing care in the last hour of life
3. CCuring the disease at any cost, whatever the side effects
4. DReplacing all other medical treatment

Which lifestyle advice helps reduce night-time reflux symptoms?

1. ADrink a large glass of fizzy water before lying down
2. BSleep flat on several pillows placed under the knees
3. CNo food for 3 hours before bed, with the head of the bed raised
4. DHave the largest meal of the day just before going to bed to aid sleep

Why is an ankle-brachial pressure index (ABPI) measured before compression bandaging for a leg ulcer?

1. ATo check for a leg bone fracture
2. BTo exclude significant arterial disease
3. CTo find out how deep the ulcer is
4. DTo find the bacteria in the wound

Why is a gastrostomy tube with an internal bumper usually advanced and rotated regularly once the tract has healed?

1. ATo make the tube longer as the patient grows or gains weight
2. BTo stop the inner bumper becoming buried in the stomach wall
3. CTo check that the patient is still hungry
4. DTo remove any feed left in the stomach

Which treatment often relieves pain from a bone metastasis?

1. AA diet low in calcium and vitamin D
2. BPalliative radiotherapy to the area
3. CIron supplements by mouth for several months
4. DComplete bed rest for a month

An older patient with atrial fibrillation has sudden severe abdominal pain, but the abdomen is soft with little tenderness. Lactate is raised. What should the nurse suspect?

1. ASimple constipation
2. BIrritable bowel syndrome
3. CMuscle strain from coughing
4. DAcute mesenteric ischaemia

After forearm fracture surgery, a patient has severe pain not eased by opioids, made worse by passively moving the fingers. What should the nurse do?

1. ARaise the arm as high as possible and give a further dose of opioid
2. BLoosen any tight dressing, keep the arm at heart level and escalate
3. CReassure the patient that this pain is expected
4. DApply ice and a tighter bandage to reduce the swelling