1.简单
What should patients usually be told about hair loss from chemotherapy?
- AIt is always permanent with every drug
- BIt is usually temporary, and hair grows back afterwards
- CIt happens with every type of cancer treatment, including surgery
- DIt means the treatment is not working
2.简单
Why does chemotherapy often affect the bone marrow, gut lining and hair?
- AThese tissues are the main sites of cancer
- BThese tissues store the chemotherapy drugs
- CThese tissues contain rapidly dividing cells
- DThese tissues have no blood supply
3.简单
A patient receiving external beam radiotherapy asks whether they are radioactive. What is correct?
- ANo, they are not radioactive and can be with family
- BOnly their clothes are radioactive afterwards
- CYes, so they must avoid all contact with children and pregnant women
- DYes, for one month after each session
4.中等
Why is thiamine given to patients with alcohol dependence admitted to hospital?
- ATo treat the cirrhosis directly
- BTo prevent Wernicke's encephalopathy
- CTo reduce the craving for alcohol
- DTo prevent bleeding from varices
5.中等
Which advice helps a patient with haemorrhoids?
- AEat more fibre, drink enough fluid and avoid straining
- BEat less fibre so that stools are smaller
- CSit on the toilet for long periods to empty fully
- DTake a codeine-based painkiller every day
6.中等
Which practice is correct when giving parenteral nutrition through a central line?
- ALet the bag hang at room temperature for several days
- BGive other IV drugs through the same lumen to save time
- CUse a dedicated lumen and strict aseptic technique
- DDisconnect and reconnect the line without cleaning the hub
7.困难
A nurse teaches a patient with chronic pancreatitis. Which statement shows a need for further teaching?
- A"I'll take my enzyme capsules at bedtime."
- B"I should not drink any alcohol."
- C"I'll report increased thirst or passing urine more often."
- D"Oily, floating stools may mean my dose needs changing."
8.困难
During burn resuscitation, a 70 kg adult's urine output has been 120 mL/h for 3 hours, and the face and limbs are very oedematous. What should the nurse do?
- AIncrease the fluid rate to keep the output high
- BDiscuss reducing the fluid rate with the team
- CGive a diuretic without discussing it
- DStop all IV fluids completely and remove the catheter
答案
- 1. B · It is usually temporary, and hair grows back afterwards
- 2. C · These tissues contain rapidly dividing cells
- 3. A · No, they are not radioactive and can be with family
- 4. B · To prevent Wernicke's encephalopathy
- 5. A · Eat more fibre, drink enough fluid and avoid straining
- 6. C · Use a dedicated lumen and strict aseptic technique
- 7. A · "I'll take my enzyme capsules at bedtime."
- 8. B · Discuss reducing the fluid rate with the team
完整分步解答:请在 examproblems.com 上练习本主题。