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

What is a keloid scar?

1. AA raised scar that grows beyond the edges of the wound
2. BA flat, pale scar that fades and softens over time
3. CA wound that will not close at all
4. DA scar that forms only on the inside of the body

What is the main purpose of a biopsy when cancer is suspected?

1. ATo remove all the cancer at once
2. BTo confirm the diagnosis by examining tissue
3. CTo measure the patient's blood count
4. DTo give chemotherapy directly into the tumour

What is a spinal anaesthetic?

1. ALocal anaesthetic cream rubbed on the skin
2. BA general anaesthetic gas breathed through a mask
3. CA sedative tablet taken the night before
4. DLocal anaesthetic injected into the CSF in the lower back

Which patient is at highest risk of refeeding syndrome?

1. AA healthy adult after an overnight fast for minor surgery
2. BAn underweight patient who has eaten very little for 10 days
3. CA patient with a normal BMI eating three meals a day
4. DA patient who missed one lunch because of a scan

Яка мета інтервалу блокування на помпі PCA?

1. AВін змушує пацієнта чекати добу між великими дозами
2. BВін блокує помпу, щоб шприц не можна було замінити
3. CВін не дозволяє пацієнтові отримувати жодних доз уночі
4. DВін не дозволяє нову дозу, доки не подіяла попередня

A patient is starting regular oral morphine. Which bowel advice is most appropriate?

1. ATake a bulk-forming laxative only with very little water
2. BStart a regular laxative at the same time
3. CStop eating fibre completely
4. DWait until there has been no stool for a week

A competent adult who is a Jehovah's Witness refuses blood transfusion before major surgery. What should the nurse do?

1. ARespect the decision, document it and inform the team
2. BCancel the surgery without discussing it
3. CAsk the family to override the decision
4. DPlan to transfuse secretly during the operation if it becomes needed

After signing the consent form, a patient tells the nurse, "I don't really understand what they are going to do." What should the nurse do?

1. AExplain the surgical risks in detail without involving the surgeon
2. BIgnore the comment because the form is already signed
3. CInform the surgeon so that the procedure can be explained again
4. DReassure the patient that the surgeon knows best