1. KIT Hemşirelik Kursu Soruları

Hematolojide Damar Yolu Erişimi

 

Intravenöz kateterlerin öncelikli komplikasyonu nedir?

a Tromboz

b Oklüzyon

c Enfeksiyon

d Pinch off sendromu

 

1 Periferal kanülün (iv branül, intraket) büyüklüğü ne kadar olmalıdır?

a Girilen damarın çapı kadar

b Verilecek hacim ile ilgili büyüklükte olmalı

c Her zaman aynı olmalı

d Doktorun söylediği kadar olmalı

 

2 Bir yetişkinde Vena Kava Superior daki ortalama kan akışı ne kadardır?

a Dakikada 2-2,5 litre

b Dakikada 1 litre

c Saatte 2-2,5 litre

d Dakikada 1-1,5 litre

 

3 Hickman kateter neden tercih edilir ?

a Düşük enfeksiyon riskinden

b Yüksek hacimli infüzyona olanak sağlar

c Kan almada kullanılabilir

d Yukarıdakilerin hepsi

 

4 Deri dezenfeksiyonu

a Periferik kanül girişinden önce gerekli değildir.

b Herhangi vasküler uygulamadan önce dikkatlice yapılmalıdır

c Subkutan enjeksiyondan önce de gereklidir

d Herhangi girişim uygulamasında 80% alkol yeterlidir

5 BT görüntüleme için kontrast uygulaması

a Yeni konulan CVC için bir seçenektir

b Her santral venöz kateter için yapılabilir

c Sadece periferik kanül kullanılarak uygulanabilir

d Sadece kasıklardaki geniş damarlardan uygulanabilir

 

6 Periferden takılan Santral Venöz Kateter (PICC)

a Kan almada kullanılabilir

b Tüm şıklar doğrudur

c Tüm intravenöz uygulamalar için uygundur

d Bir yıla kadar yerinde kalabilir

 

7 Doğru yerleştirilmiş PICC kateterin ucu

a Arteria carotistedir

b Vena kava inferiyorun üst üçüncü bölümündedir

c Vena Cava Süperior’un alt üçüncü bölümündedir

d Damar duvarında hareketi engellemek için durur

8 İğnesiz Bağlantı Konnektörleri

a Heparinle yıkama gereğini engelleyebilir

b Kullanmadan önce steril edilmelidir

c 3 tipe ayrılır

d Yukarıdakilerin hepsi

9 Yarı geçirgen örtüler

a Sentral Venöz kataterlerin giriş yerinde olmalıdır

b Duş alınmasına engel olur

c Haftada bir yenilenmelidir

d Enfeksiyonları artırır

 

Kemoterapi Uygulamaları

 

1 Kök Hücre Transplantasyonunda kemoterapinin amacı nedir?

a Kemik İliğinde yer açmak

b Malign hücreleri azaltmak

c Konakçı bağışıklık sistemini baskılamak

d Hepsi

 

2 Yatan bir hastaya tedavinin ve hastalık sürecinin karmaşık bir olay olduğunu hasta gerçekten anladığına emin olmanıza kadar ne kadar tekrarlamanız gerekir?

a En az bir- sonra hasta tümüyle anlar

b İki kere yeterlidir

c Üç kere ve üçüncü kez sonrasında ne anladığını kendi kelimeleri ile anlatmasını isteriz.

d Neden bilgi vereyim?

 

3 Hangi ilaçta hemorajik sistitten korunmak için MESNA kullanılır?

a Melfalan

b Etoposit

c Ifosfamid

d Kortikosteroid

4 Hangi ilaç kalıcı alopesi yapıyor?

a Siklofosfamid

b Busulfan

c Sisplatin

d Sitozin arabinosid

 

5 İlaç sınıflandırmasında KMT ne anlama gelir

a Kanserojen, Mutajen, Teratojen

b Klinik Medikal Tanımlama

c Karmaşık Malign Tedavi

d Bilmiyorum

 

6 Sitotoksik ilaçlar ile kontaminasyon ne zaman oluşabilir ?

a Ampuller ile uğraşırken

b İlaçları uygulama için hazırlarken

c Yatan hasta uygulaması sırasında

d Hepsi

 

7 Normal karaciğer fonksiyonlarına sahip bir hastada siklofosfamid temizlenmesi ne kadar zaman alır?

a 24 saat

b 48 saat

c 72 saat

d 5 güne kadar

 

Graft Versus Host Hastalığı (GVHH)

 

1 GVHH nasıl oluşur?

 

a Hasta lenfositleri verici dokuyu yabancı olarak algılar ve saldırır

b Vericiden gelen lenfositler hastanın dokularını yabancı algılar ve saldırır.

c Hasta ve verici lenfositleri birbirlerine saldırır.

d Hiçbiri

 

2 1. Derece cilt GVHH nasıl tanımlanır?

a Vücut yüzeyinin 25 %inden azında makülopapuler döküntü

b Vücut yüzeyinin 25-50 % sinde makülopapuler döküntü

c Vücut yüzeyinin 50 %inden çoğunda makülopapuler döküntü

d Büllöz oluşum ve kavlanmalı genel eritrodermi

 

3 GVHH

a Hastalık relaps riskini azaltır

b Tek (homozigotik) yumurta ikizlerinde yapılan sinjeneik nakilerde oluşmaz

c Değişken klinik koşullardır

d Yukardakilerin hepsi

e Yukardakilerin hiçbiri

 

4 GVHH’de diare (ishal) genelde

a Az, kırmızı, muköz

b Çok, Sulu, Yeşil, muköz

c Yarı katı, koyu, muköz

d Dışkılama alışkanlığı normaldir

 

5 GVHH günümüzde şu şekilde tanımlanmaktadır

a Yeni ve Eski

b Yaygın (ekstensif) ve sınırlı (limited)

c Akut ve Kronik

d Hafif ve Ciddi

 

6 GVHH oluşma yüzdesi genelde

a 10-30%

b 25-40%

c 30-70%

d 80-100%

 

7 GVHH 1. Basamak tedavisinde

a Steroid ve immunosupresif tedavi

b Fotoferez

c Monoklonal antikorlar

d Anti-timosit globulin

 

8 Kronik GVHD ne zaman oluşur?

a Alloreaktif T hücreleri oluştuğunda

b Otoreaktif T hücreleri oluştuğunda

c Hastalığın nüksünde

d Alloreaktif B hücreleri oluştuğunda

 

9 Perifer kandan yapılan allojeneik kök hücre nakilleri aşağıdaki hangi duruma yol açmaktadır?

a Daha çok akut GVHH

b Daha çok kronik GVHH

c Az GVHH

d GVHH olmaması

 

10 İlerleyen GVHH terimi ne için kullanılır?

a Yeni gelişen akut GVHH

b Kronik GVHH ye dönüşen Akut GVHH

c Yeni oluşan kronik GVHH

d Hepsi

Oral Mukozit

 

1 Literatüre göre yüksek doz kemoterapi ve TBI takiben KHT olan hastalarda oral mukozit sıklığı nedir?

a 25-50%

b 50-75%

c 75-100%

d Neredeyse tüm hastalarda oluşur

 

2 Oral mukozit etkileri ciddi olabilir.

a Acı ve rahatsızlık verir

b Kanama ve sistemik enfeksiyonlar için neden olabilir

c Ağız çalkalama ile engellenebilir

d a ve b şıkkı doğru

e a,b ve c şıkkı doğru

 

3 Oral mukozit oluşumundaki risk faktörleri

a Yaş

b Cinsiyet

c Ağzın durumu

d Beslenme durumu

e Hepsi

 

4 Klinik uygulamada birçok değerlendirme kriterleri mevcuttur. Bunlardan biri WHO toksik değerlendirme kriterleridir. WHO Evre 3 mukozit ne demektir?

a Ülserleri olan acılı eritem- hasta sadece sıvı tüketebiliyor

b Ağrısız ülserler, fetor

c Ağrı var ama katı yemek yiyebiliyor

d Hastanın parental beslenme desteğine gereksinimi var

 

5 En geçerli değerlendirme kriteri hangisidir?

a Ödem

b Ağrı

c Kızarıklık

d Beslenme

e Ağız boşluğunun özel yerleri

 

6 KHT sonrası oral mukozit oluşumunu engellemek için ne verilir?

a rh G-CSF

b rh GM-CSF

c rh KGF

d rh EPO

 

7 Oral mukozit tedavisi temelde

a Ülser iyileştirici ilaçların verilmesi

b Yumuşatıcılar ile ağızın çalkalanması

c Semptomatik tedavi

d Yapabilecek bir şey yoktur.

 

8 KHT sonrası oluşan oral mukozitlerin önlenmesinde ağızın klorheksidin ile çalkalanması diğer tüm solüsyonlardan daha etkilidir.

a- Doğru

b- Yanlış

 



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