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

Which factor most increases the risk of Clostridioides difficile infection?

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

What is the main purpose of a biopsy when cancer is suspected?

1. ATo give chemotherapy directly into the tumour
2. BTo confirm the diagnosis by examining tissue
3. CTo measure the patient's blood count
4. DTo remove all the cancer at once

What does the grade of a cancer describe?

1. AHow far the cancer has spread in the body
2. BHow abnormal the cancer cells look under a microscope
3. CHow many treatments the patient has had so far, including surgery
4. DThe patient's age when diagnosed

During the first infusion of a monoclonal antibody such as rituximab, which problem is most important to watch for?

1. AA rise in platelet count above normal
2. BSevere constipation within the first hour of starting the infusion
3. CSudden hair loss during the infusion
4. DAn infusion reaction, such as fever, rigors or breathlessness

A dying patient can no longer drink. Which mouth care is most appropriate?

1. ALemon and glycerine swabs every hour to stimulate saliva
2. BNo mouth care, to avoid disturbing the patient
3. CBrushing hard with a stiff toothbrush twice a day
4. DFrequent, gentle moistening of the mouth and lips

ما الغرض من فاصل الإغلاق (lockout interval) في مضخة PCA؟

1. Aيمنع جرعة جديدة قبل أن تعمل الأخيرة
2. Bيقفل المضخة فلا يمكن تغيير المحقنة
3. Cيجعل المريض ينتظر يومًا بين الجرعات الكبيرة
4. Dيمنع المريض من تلقي أي جرعات ليلًا

Four patients are on a gastroenterology ward. Which should the nurse see first?

1. AA patient with stable ulcerative colitis asking about diet
2. BA patient with cirrhosis who is newly confused and drowsy
3. CA patient with GORD who wants an antacid
4. DA patient with an ileostomy waiting to change the pouch

After several days of a tight CPAP mask, a patient has a red, broken area on the bridge of the nose. What is this, and what should the nurse do?

1. AAn allergic rash; stop the CPAP for good and give oral antihistamines
2. BA device-related pressure injury; protect skin and refit the mask
3. CA normal mark; take no action until it heals
4. DA burn from the oxygen; apply ice to the area