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

What is the first aid for a dry chemical powder on the skin?

1. ARub it in with a wet cloth to spread it thinly over the skin
2. BAdd vinegar to neutralise it at once
3. CCover it with a tight dressing and wait
4. DBrush off the powder, then irrigate with plenty of water

Đau bùng phát (breakthrough pain) là gì?

1. ACơn đau chỉ cảm thấy trong lúc phẫu thuật
2. BCơn đau đã hết hoàn toàn với điều trị đều đặn
3. CCơn đau bùng lên dù đã giảm đau nền đều đặn
4. DCơn đau chỉ do dị ứng với thuốc giảm đau

When should pain be reassessed after giving analgesia?

1. AOnly at the next routine observation round the next day
2. BWhen the drug is expected to have taken effect
3. COnly if the patient asks for more analgesia
4. DNever, as one assessment is enough

Thảo dược bổ sung nào thường được hỏi trước phẫu thuật vì có thể làm tăng chảy máu?

1. AHoa cúc La Mã
2. BGinkgo biloba (bạch quả)
3. CTinh dầu bạc hà
4. DNam việt quất

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. BTake the usual dose on the morning of surgery
3. CSwap to aspirin on the morning of surgery
4. DStop it about 5 days before and check the INR

Which statement about moist wound healing is correct?

1. AA moist, not wet, wound bed helps cells move and heal faster
2. BA wet wound bed always prevents infection
3. CWounds should be soaked in water for hours every day
4. DWounds heal fastest when left to dry out and form a scab

Hours after an oesophageal dilatation, a patient has chest pain, fever and crackling swelling under the skin of the neck. What should the nurse suspect?

1. AAn allergic reaction to the sedative
2. BNormal discomfort after the procedure
3. CSimple reflux after the dilatation
4. DOesophageal perforation

A patient has a category (stage) 2 pressure ulcer on the sacrum. Which plan is most appropriate?

1. AMassage around the wound every hour to stimulate blood flow to the skin
2. BLeave it uncovered and dry it with a hair dryer
3. COffload the area, manage moisture, support nutrition and dress it
4. DSit the patient upright in a chair for most of the day