内外科护理：消化、围手术期与肿瘤练习卷（附答案）

What is the main purpose of a surgical wound drain?

1. ATo give IV fluids and antibiotics straight into the wound bed
2. BTo measure the patient's temperature
3. CTo remove fluid or blood that collects at the operation site
4. DTo feed the patient after surgery

什么是腹水？

1. A双侧踝部肿胀
2. B腹膜腔内的液体
3. C肺周围胸膜腔内的液体
4. D胆总管堵塞

A patient receiving external beam radiotherapy asks whether they are radioactive. What is correct?

1. AOnly their clothes are radioactive afterwards
2. BYes, for one month after each session
3. CNo, they are not radioactive and can be with family
4. DYes, so they must avoid all contact with children and pregnant women

Which nursing intervention best reduces preoperative anxiety?

1. AAvoiding talking about the operation at all
2. BKeeping family members away until after surgery
3. CTelling the patient that there is nothing to worry about
4. DExplaining what will happen and answering questions

A patient takes co-codamol at home (a combination tablet sold under different names in different countries). Why should the nurse check this before giving regular paracetamol (acetaminophen)?

1. AIt already contains paracetamol, so overdose could occur
2. BCo-codamol stops paracetamol from working
3. CCo-codamol must be stopped a week before any paracetamol
4. DParacetamol and codeine cause a severe allergic reaction when combined

Which long-term effect must be monitored in patients receiving anthracyclines such as doxorubicin?

1. ALoss of the sense of smell
2. BExcess growth of body hair
3. CDamage to the heart muscle
4. DPermanent high blood glucose

A few hours after thyroid surgery, a patient's neck swells rapidly and they become short of breath with stridor. What is most likely?

1. ALow blood calcium from the surgery
2. BAn allergy to the wound dressing
3. CA haematoma pressing on the airway
4. DNormal swelling after neck surgery

A dying patient has noisy, rattling breathing. The patient seems unaware, but the family is distressed. What is the best nursing approach?

1. AGive large volumes of IV fluid to loosen and thin the secretions
2. BAsk the family to leave the room
3. CReposition, explain the cause and give prescribed drugs if needed
4. DPerform deep suction every hour