Робочий аркуш «Медсестринство в терапії та хірургії: ШКТ, періопераційний період та онкологія» з відповідями
Безкоштовний робочий аркуш для друку «Медсестринство в терапії та хірургії: ШКТ, періопераційний період та онкологія»: 8 задач від легких до рівня іспиту, з ключем відповідей. Роздрукуйте його або збережіть як PDF.
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1.Легка
Which sign suggests acute cholecystitis?
APain that stops a deep breath when the right upper abdomen is pressed
BPain in the left lower abdomen when the right side is pressed
CBruising around the umbilicus and over both flanks of the abdomen
DA flapping tremor of the hands when the arms are held out
2.Легка
What is abdominal paracentesis?
ADraining fluid from the abdominal cavity with a needle or drain
BRemoval of the gallbladder through several small abdominal incisions
CInjection of dye into a vein in the arm
DA camera test of the lining of the large bowel
3.Легка
What does dysphagia mean?
ADifficulty speaking clearly
BPainful passing of urine
CDifficulty swallowing
DIndigestion after fatty food
4.Середня
Why does a patient need lifelong vitamin B12 injections after total gastrectomy?
AThe small bowel stops absorbing all nutrients
BThe liver can no longer store any vitamins
CIntrinsic factor from the stomach is no longer made
DVitamin B12 is lost in the urine after the surgery
5.Середня
Which advice helps a patient with haemorrhoids?
AEat less fibre so that stools are smaller
BTake a codeine-based painkiller every day
CEat more fibre, drink enough fluid and avoid straining
DSit on the toilet for long periods to empty fully
6.Середня
How is an uncomplicated sigmoid volvulus often first treated?
AA barium meal given by mouth to untwist the bowel slowly
BHigh-dose laxatives taken by mouth
CEating a large high-fibre meal
DDecompression with a flexible sigmoidoscope and flatus tube
7.Складна
An hour after a line flush, a patient receiving parenteral nutrition has rigors and a temperature of 39,1 °C. What should the nurse suspect and do?
ALow blood glucose; give a sugary drink
BFluid overload; reduce the infusion rate only
CA normal reaction; give paracetamol and continue the infusion
DLine infection; escalate and take blood cultures
8.Складна
A patient with diabetes on continuous enteral feeding and an insulin regimen has the feed stopped for a procedure. What is the main concern?
AHyperglycaemia because the stomach is empty
BHypoglycaemia if insulin continues without the feed
CRefeeding syndrome from too much glucose
DDiarrhoea from stopping the feed suddenly
Ключ відповідей
1. A · Pain that stops a deep breath when the right upper abdomen is pressed
2. A · Draining fluid from the abdominal cavity with a needle or drain
3. C · Difficulty swallowing
4. C · Intrinsic factor from the stomach is no longer made
5. C · Eat more fibre, drink enough fluid and avoid straining
6. D · Decompression with a flexible sigmoidoscope and flatus tube
7. D · Line infection; escalate and take blood cultures
8. B · Hypoglycaemia if insulin continues without the feed
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