Med-surg: GI, perioperative & oncology worksheet with answers

Which signs suggest a deep vein thrombosis in the leg?

1. ACold, pale feet on both sides with no pulse
2. BSwelling, pain, warmth and redness of one calf
3. CItching between the toes of both feet
4. DA painless rash on both shins

In many adult guidelines, how long before an elective anaesthetic can clear fluids usually be drunk?

1. AUp to 10 minutes before
2. BUp to 24 hours before
3. CUp to 2 hours before
4. DUp to 12 hours before

Which is an example of a non-drug method of pain relief?

1. AA morphine injection into the thigh
2. BAn ibuprofen tablet with food
3. CA lidocaine patch
4. DRelaxation and distraction

Which task for a stable patient with an established ileostomy can usually be delegated to a trained healthcare assistant (nursing assistant)?

1. ADeciding whether IV fluids are needed
2. BEmptying the pouch and measuring the output
3. CTeaching the patient about high-output risks
4. DAssessing the stoma for signs of necrosis

Which area is used as a quick estimate of 1% of body surface area for small or scattered burns?

1. AThe patient's palm including the fingers
2. BThe examiner's palm including the fingers
3. CThe patient's hand and forearm
4. DThe patient's thumbnail

Why may modified-release or enteric-coated tablets not work well for a patient with an ileostomy?

1. AThe stoma absorbs the drug far too quickly into the blood
2. BThe ileostomy enzymes destroy every type of oral medicine
3. CPatients with an ileostomy cannot take any oral medicines
4. DFast transit means it may pass before releasing the drug

During an IV vincristine infusion through a peripheral cannula, the patient reports burning, and the site is swollen. What should the nurse do first?

1. AContinue the infusion more slowly and apply an ice pack to the site
2. BRemove the cannula at once and massage the area to spread the drug
3. CStop the infusion, leave the cannula to aspirate, follow the policy
4. DFlush the cannula with saline to push the remaining drug into the vein

On day 3 after laparoscopic cholecystectomy, a patient has abdominal pain, fever and mild jaundice, and green fluid is draining from the drain. What is most likely?

1. AUrinary retention
2. BA wound haematoma
3. CA bile leak
4. DNormal post-operative drainage