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

ما الإسعاف الأولي الموصى به للحرق الحراري؟

1. Aماء جارٍ بارد لمدة نحو 20 دقيقة
2. Bزبدة أو زيت يُمسح على الحرق
3. Cفقء الفقاعات فورًا
4. Dثلج يوضع مباشرة على الحرق لمدة 20 دقيقة

What is the main purpose of marking the surgical site before an operation?

1. ATo prevent surgery on the wrong side or site
2. BTo record the patient's allergy status
3. CTo tell the porter which theatre to go to
4. DTo show where the skin should be shaved

أيّ سمة نموذجية للحرق كامل السماكة؟

1. Aجلد رطب وردي مع فقاعات كبيرة مؤلمة
2. Bجلد جلدي القوام أبيض أو بني غير مؤلم
3. Cجلد يشحب بالضغط ويلتئم خلال بضعة أيام
4. Dجلد أحمر مؤلم دون فقاعات، مثل حروق الشمس

Why is it important to prevent perioperative hypothermia?

1. AIt reduces the amount of anaesthetic needed, which is unsafe
2. BIt makes patients wake up from the anaesthetic too quickly
3. CIt increases bleeding, wound infection and heart complications
4. DIt lowers the risk of pain after surgery

Which group of findings suggests obstruction of the bile duct?

1. ARed urine, black stools and a high blood glucose
2. BPale urine, dark stools and a flapping tremor
3. CJaundice, dark urine, pale stools and itching
4. DNormal skin colour with diarrhoea and fever

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

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

In week 5 of radiotherapy, the skin in the treatment field is broken, moist and painful. What should the nurse do?

1. AApply adhesive tape directly over the area to protect it from clothing
2. BScrub the area with soap to prevent infection
3. CReport it, keep it clean and use a non-adherent dressing
4. DUse a heat pad to speed healing

An older patient on regular opioids has small amounts of liquid stool leaking all day, but has not had a formed bowel movement for 6 days. What is the most likely cause?

1. AA flare of ulcerative colitis
2. BFaecal impaction with overflow
3. CAcute infective gastroenteritis
4. DNormal stool pattern on opioids