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

ماذا ينبغي فعله قبل أخذ مسحة جرح للزرع مباشرة؟

1. Aأخذ المسحة من الضماد الجاف نفسه
2. Bترك الضماد القديم يومًا كاملًا آخر
3. Cتنظيفه بالمحلول الملحي لإزالة الحطام السطحي
4. Dوضع مطهّر وتركه يجف تمامًا

What is the MUST tool used for?

1. AScreening adults for malnutrition risk
2. BAssessing the risk of falls
3. CMeasuring pain in confused patients
4. DScoring the severity of a burn injury

Where is biliary colic typically felt?

1. AIn the lower back, after lifting something heavy
2. BIn the right upper abdomen, often after a fatty meal
3. CIn the left lower abdomen, after passing stool
4. DIn the groin, after standing for a long time

Which technique is correct when giving a prefilled low molecular weight heparin injection?

1. ALeave the air bubble in and inject into a skin fold
2. BInject into a vein in the back of the hand
3. CExpel the air bubble first and inject into the deltoid muscle
4. DRub the site firmly afterwards to help absorption

ما العلوص الشللي (paralytic ileus)؟

1. Aفقدان حركة الأمعاء دون انسداد مادي
2. Bانسداد لمعة الأمعاء بورم
3. Cالتواء في الأمعاء الغليظة يقطع تروية الدم عنها
4. Dعدوى في جدار الأمعاء مع حمى

Which finding means a patient is usually ready to leave recovery for the ward?

1. APain score 9/10 and vomiting repeatedly
2. BStill drowsy and needing a jaw thrust to breathe
3. CSystolic BP falling steadily over the last hour, with a rising pulse rate
4. DAwake, with a clear airway, stable observations and controlled pain

An incontinent patient has diffuse, shiny, red and broken skin in the natal cleft and buttocks with irregular edges, not over a bony prominence. What is most likely?

1. AA full-thickness burn
2. BIncontinence-associated dermatitis
3. CA category 4 pressure ulcer over the sacrum
4. DAn arterial ulcer caused by poor circulation

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

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