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

Which signs suggest early hypovolaemic shock after surgery?

1. ANormal pulse with heavy sweating only after meals
2. BRising heart rate, cool skin and slow capillary refill
3. CHigh blood pressure with a fast, bounding pulse
4. DSlow heart rate, flushed skin and warm hands

Which finding is typical of a perforated peptic ulcer?

1. ASlow onset of mild pain relieved fully by eating
2. BA soft, non-tender abdomen with loud, frequent bowel sounds
3. CPainless bright red bleeding from the rectum over several days
4. DSudden severe abdominal pain with a rigid, board-like abdomen

What is metastasis?

1. AHealing of tissue after a biopsy
2. BShrinking of a tumour after treatment
3. CThe first appearance of a tumour in a single organ of the body
4. DSpread of cancer cells to a distant part of the body

When is cold therapy most useful for pain?

1. AOver numb areas where sensation is lost
2. BSoon after an acute soft tissue injury, to reduce swelling
3. CDirectly on skin with poor circulation
4. DFor long-term muscle stiffness, applied continuously for several hours

Which long-term effect must be monitored in patients receiving anthracyclines such as doxorubicin?

1. ADamage to the heart muscle
2. BExcess growth of body hair
3. CLoss of the sense of smell
4. DPermanent high blood glucose

Які ознаки вказують на тяжкий гострий панкреатит із кровотечею в тканини?

1. AНабряк губ, язика та обличчя
2. BЖовте забарвлення нігтів на пальцях
3. CСинці навколо пупка або у фланках
4. DФіолетовий висип на долонях і підошвах

A patient with advanced cancer who has capacity decides to stop chemotherapy. The family insists that treatment must continue. What should the nurse do?

1. AAsk the family to sign a new consent form
2. BContinue treatment because the family has asked for it
3. CSupport the patient's decision and help the team talk with the family
4. DTell the patient that stopping is not allowed

A patient taking IV antibiotics has three unexplained loose stools in 24 hours. What should the nurse do first?

1. AIsolate the patient and send a stool sample for testing
2. BWait two days to see if the diarrhoea settles
3. CGive loperamide after each loose stool and continue as usual
4. DMove the patient to a bay with other patients to watch them closely