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

Which skin care advice is usual during external beam radiotherapy?

1. AApply a hot water bottle to soothe the area
2. BUse perfumed lotions to keep the skin soft
3. CWash gently with lukewarm water and pat dry
4. DScrub the treated area daily to remove the skin marks

Which factor most increases the risk of Clostridioides difficile infection?

1. ARecent antibiotic treatment
2. BDrinking bottled water
3. CA diet high in fibre
4. DRegular exercise

What is an autograft in burn care?

1. ASkin taken from a donor who has died
2. BA synthetic dressing made in a laboratory from collagen
3. CSkin taken from a pig or other animal
4. DSkin taken from another part of the patient's own body

Why is pethidine (meperidine) generally avoided for regular pain relief?

1. AIt always causes severe diarrhoea
2. BIt can only be given by mouth
3. CA metabolite can build up and cause seizures
4. DIt has no pain-relieving effect at all in adults

How are skin staples usually removed from a healed incision?

1. AThe staples are left in permanently under the skin
2. BOnly the staples at each end, leaving the others for good
3. CAlternate staples first, then the rest if the wound holds
4. DAll staples at once by pulling each one straight up from the skin

Which signs suggest severe acute pancreatitis with bleeding into the tissues?

1. AA purple rash on the palms and soles
2. BYellow discolouration of the fingernails
3. CSwelling of the lips, tongue and face
4. DBruising around the umbilicus or flanks

A nurse teaches a patient after a laparoscopic fundoplication for reflux. Which statement shows a need for further teaching?

1. A"Fizzy drinks will help me bring up wind after meals."
2. B"Some difficulty swallowing can happen in the early weeks."
3. C"I'll eat soft, moist food at first and chew it well."
4. D"I should eat smaller meals for a while after the operation."

On day 3 after surgery, a patient has a temperature of 38.6 °C, respiratory rate 24/min, pulse 118/min, BP 92/58 mmHg and new confusion. What should the nurse do?

1. AEscalate urgently and start the sepsis pathway
2. BRecord the observations and continue routine care
3. CEncourage oral fluids and wait for the doctor's round
4. DGive paracetamol and recheck in four hours