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

What is a skin graft donor site?

1. AA wound where healthy skin was taken for grafting
2. BThe area where the graft was placed on the burn wound
3. CA scar that has fully matured
4. DA blood vessel used to give fluids

Which symptom in an adult over 50 is a red flag for colorectal cancer?

1. AMild bloating before a period
2. BA lasting change in bowel habit with rectal bleeding
3. COne episode of loose stools after a takeaway meal
4. DOccasional wind and rumbling after eating a meal of beans

Where is biliary colic typically felt?

1. AIn the groin, after standing for a long time
2. BIn the lower back, after lifting something heavy
3. CIn the left lower abdomen, after passing stool
4. DIn the right upper abdomen, often after a fatty meal

A patient with obstructive sleep apnoea is admitted for surgery. Which instruction is most appropriate?

1. AStop all pain relief for the first three days
2. BBring their CPAP machine to use after surgery
3. CAvoid sleeping at all on the night after surgery
4. DLie flat on their back for the first night

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

1. ADouble the dose for a week so the blood is ready for surgery
2. BStop it about 5 days before and check the INR
3. CTake the usual dose on the morning of surgery
4. DSwap to aspirin on the morning of surgery

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

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

A patient on modified-release morphine for cancer pain has needed four breakthrough doses every day for several days. What should the nurse do?

1. AGive all breakthrough doses at the same time
2. BTell the patient to put up with the pain between doses
3. CReport it, as the regular background dose may need review
4. DStop the breakthrough doses to reduce opioid use

У пацієнта з електричною травмою високої напруги є невеликі рани входу й виходу. Чому потрібен ретельний моніторинг?

1. AЄдиний справжній ризик — незначна інфекція шкірних ран
2. BМалі рани шкіри свідчать, що внутрішня травма також незначна
3. CЕлектричні травми ніколи не пошкоджують тканини під поверхнею шкіри
4. DПрихована м'язова травма: аритмії, рабдоміоліз, ураження нирок