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

Where are venous leg ulcers usually found?

1. AAround the inner ankle, in the gaiter area
2. BOn the tips of the toes and between the toes
3. COn the sole of the foot under the heel
4. DOn the front of the thigh

Which symptom is typical of haemorrhoids?

1. AVomiting of dark, coffee-ground material
2. BBlack, tarry stools with a strong smell
3. CBright red blood on the paper after opening the bowels
4. DYellow skin, dark urine and pale stools that float in the toilet

What is a common reason for giving a premedication before surgery?

1. ATo treat the surgical wound in advance
2. BTo replace the general anaesthetic
3. CTo reduce anxiety
4. DTo make the patient hungry after surgery

Про яку рослинну добавку часто запитують перед операцією, бо вона може посилювати кровотечу?

1. AЖуравлина
2. BОлія м'яти перцевої
3. CГінкго білоба
4. DРомашка

What is TENS?

1. AA strong opioid given through the skin as a weekly adhesive patch
2. BA pain score used for babies
3. CA type of epidural catheter inserted in theatre
4. DA device that sends mild electrical pulses through skin pads

A patient received IV morphine 20 minutes ago and the surgical consent form has not been signed. What should the nurse do?

1. ATell the surgeon, as the patient may not be able to consent now
2. BAsk a relative to sign instead of the patient
3. CSign the form on the patient's behalf as a witness
4. DAsk the patient to sign quickly before they get sleepier

During preoperative assessment, a patient says their brother had a "very high fever" during an anaesthetic. What is the most important action?

1. AReassure the patient that fevers after anaesthesia are always harmless
2. BGive paracetamol before surgery to prevent fever
3. CRecord it as a family allergy to paracetamol
4. DInform the anaesthetist, as malignant hyperthermia may run in the family

An 80-year-old has a fluid balance 3 L positive two days after surgery. They are now breathless, with crackles at both lung bases and swollen ankles. What should the nurse do?

1. AStop the IV fluids, sit the patient up and escalate
2. BIncrease the IV fluid rate to improve kidney flow
3. CLie the patient flat with the legs raised
4. DEncourage the patient to drink more fluids