ورقة عمل التمريض الباطني الجراحي: الجهاز الهضمي وما حول الجراحة والأورام مع الإجابات

Which two sites are most common for pressure ulcers in patients lying in bed?

1. AThe palms and the forehead
2. BThe sacrum and the heels
3. CThe thighs and the upper arms
4. DThe forearms and the knees

What is a PICC line?

1. AA central venous catheter inserted through a vein in the arm
2. BA tube inserted into the stomach through the abdomen
3. CA catheter placed in the bladder through the lower abdominal wall
4. DA short cannula in a vein on the back of the hand

How is parenteral nutrition given?

1. AInto a vein, usually through a central line
2. BBy mouth as a thick supplement drink
3. CInto the muscle of the thigh
4. DThrough a nasogastric tube into the stomach

Patients on immune checkpoint inhibitors may develop immune-related side effects. Which symptom should they report promptly?

1. AMild tiredness after a busy day
2. BSlight hair thinning over months
3. CA small bruise after a knock
4. DNew diarrhoea or abdominal pain

Which patient is at highest risk of refeeding syndrome?

1. AAn underweight patient who has eaten very little for 10 days
2. BA patient who missed one lunch because of a scan
3. CA healthy adult after an overnight fast for minor surgery
4. DA patient with a normal BMI eating three meals a day

How should a patient with facial burns usually be positioned?

1. ALying face down on the pillow to protect the airway
2. BLying flat with the head lower than the feet
3. CWith the head of the bed raised to reduce swelling
4. DIn any position that keeps the face covered

Two days after a PEG insertion, a patient reports pain on feeding, and feed is leaking around the site. What should the nurse do?

1. AStop the feed at once and seek urgent medical advice
2. BContinue feeding and apply a thicker dressing
3. CGive the next medicines through the tube as usual
4. DIncrease the feed rate to improve nutrition

A nurse teaches a patient with a new ileostomy. Which statement shows a need for further teaching?

1. A"I'll watch for dizziness and dark urine."
2. B"I'll chew my food well to avoid blockages."
3. C"I'll drink less so my bag fills more slowly."
4. D"I'll report if my output becomes very watery and high."