Phiếu bài tập Nội–ngoại khoa: tiêu hóa, quanh phẫu thuật và ung thư có đáp án

Why are swabs, sharps and instruments counted during surgery?

1. ATo check the stock in the store room
2. BTo decide how long the operation took
3. CTo calculate the cost of the operation
4. DTo prevent items being left inside the patient

Which adverse effects are linked with NSAIDs such as ibuprofen?

1. AWeight gain and high potassium only
2. BConstipation and pinpoint pupils
3. CHair loss and low white cell count
4. DStomach bleeding and kidney injury

What is a PEG tube?

1. AA catheter placed in a large vein for medicines
2. BA drain placed in the chest to remove air
3. CA thin tube passed through the nose and down into the small bowel area
4. DA feeding tube placed through the abdominal wall into the stomach

Why is a urinary catheter usually inserted in a patient with a major burn?

1. ABurns always cause the bladder to rupture
2. BThe catheter prevents wound infection
3. CHourly urine output guides fluid resuscitation
4. DIt is needed to give medicines into the bladder

Why do patients with major burns lose so much fluid in the first 24–48 hours?

1. APatients drink far too little in hospital in the first days
2. BLeaky capillaries let plasma move into the tissues
3. CThe burned skin absorbs fluid from the air
4. DThe kidneys stop making urine completely

How is the height of an epidural sensory block usually checked?

1. ATesting sensation to cold with ice or a cold spray
2. BMeasuring the patient's blood glucose level
3. CChecking the colour of the patient's urine
4. DTapping the knee with a reflex hammer and recording the score

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. BTell the patient that stopping is not allowed
3. CSupport the patient's decision and help the team talk with the family
4. DContinue treatment because the family has asked for it

A patient's platelet count is 18 × 10⁹/L (18,000/µL). Which order should the nurse question?

1. ADaily full blood count
2. BOral paracetamol for headache
3. CA soft diet with mouthwashes
4. DAn intramuscular injection