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

Which signs suggest a surgical site infection?

1. AMild bruising around the wound that is fading a little each day
2. BA dry wound edge with a thin scab
3. CIncreasing pain, redness, swelling, heat and pus
4. DMild itching as the wound heals

What is a skin graft donor site?

1. AA scar that has fully matured
2. BA wound where healthy skin was taken for grafting
3. CThe area where the graft was placed on the burn wound
4. DA blood vessel used to give fluids

لماذا يُدخل أنبوب أنفي معدي غالبًا في انسداد الأمعاء؟

1. Aلإعطاء ملينات لإزالة الانسداد
2. Bلإعطاء تغذية غنية بالألياف مباشرة متجاوزة الانسداد
3. Cلقياس الضغط داخل الأمعاء
4. Dلتفريغ ضغط المعدة وتقليل التقيؤ

Why should antacids usually be taken at a different time from other medicines?

1. AThey destroy other drugs before they are swallowed
2. BThey stop the kidneys from clearing other drugs
3. CThey make all other drugs much more toxic
4. DThey can reduce the absorption of many other drugs

أيّ إجراءات تساعد على منع متلازمة انحلال الورم لدى المرضى عاليي الخطورة؟

1. Aإيقاف كل السوائل الوريدية والفموية أثناء العلاج الكيميائي
2. Bمكملات الكالسيوم والفوسفات يوميًا
3. Cتقييد السوائل مع أقراص البوتاسيوم
4. Dترطيب وريدي مع الألوبيورينول أو الراسبوريكاز

In the SBAR communication tool, what belongs under "A"?

1. AThe nurse's assessment of what the problem is
2. BThe address and phone number of the patient's next of kin
3. CThe patient's admission date only
4. DA list of the patient's allergies only

A patient on modified-release morphine for cancer pain has needed four breakthrough doses every day for several days. What should the nurse do?

1. AGive all breakthrough doses at the same time
2. BTell the patient to put up with the pain between doses
3. CReport it, as the regular background dose may need review
4. DStop the breakthrough doses to reduce opioid use

An hour after a line flush, a patient receiving parenteral nutrition has rigors and a temperature of 39,1 °C. What should the nurse suspect and do?

1. AFluid overload; reduce the infusion rate only
2. BLine infection; escalate and take blood cultures
3. CA normal reaction; give paracetamol and continue the infusion
4. DLow blood glucose; give a sugary drink