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

What is slough in a wound?

1. AA thick, hard black crust
2. BPink, new skin at the wound edge
3. CRed, healthy granulation tissue
4. DYellow, soft, stringy dead tissue

Which statement about hepatitis C is correct?

1. AIt is spread mainly through blood, and there is no vaccine
2. BIt always clears by itself within two weeks
3. CIt is spread mainly by food, and a vaccine is given to babies
4. DIt can be treated only with a liver transplant

Which signs suggest a deep vein thrombosis in the leg?

1. ACold, pale feet on both sides with no pulse
2. BA painless rash on both shins
3. CItching between the toes of both feet
4. DSwelling, pain, warmth and redness of one calf

A routine wound swab grows bacteria, but the wound shows no signs of infection. What does this usually mean?

1. AThe swab result means the wound is infected
2. BThe wound is colonised; antibiotics are not usually needed
3. CThe wound must be closed with sutures again
4. DThe patient needs IV antibiotics straight away, whatever the wound looks like

Which risk is particularly linked with tramadol?

1. ASevere stomach ulcers in all patients
2. BSerotonin syndrome with some antidepressants, and seizures
3. CRapid liver failure at normal doses
4. DHigh blood pressure that needs emergency treatment in most patients

Which check is routinely made for a patient with a burn wound?

1. ABlood group of the next of kin
2. BMeasles vaccination status
3. CTetanus immunisation status
4. DVisual acuity in both eyes

On the ward after surgery, a patient has a red, blistered area of skin under where the diathermy plate was. What should the nurse do?

1. AApply a hot water bottle to improve the circulation
2. BIgnore it because skin changes after surgery are normal and expected to fade
3. CTreat it as a possible burn, report it and complete an incident form
4. DWash it with alcohol and leave it uncovered

بعد يومين من بدء العلاج الكيميائي للمفوما عالية الدرجة، ينخفض إدرار بول المريض؛ البوتاسيوم 6,4 mmol/L والفوسفات مرتفع والكالسيوم منخفض. ماذا ينبغي أن تشتبه الممرضة وتفعل؟

1. Aتفاعل تحسسي: إعطاء مضاد هيستامين والمتابعة كالمعتاد
2. Bمتلازمة انحلال الورم: التصعيد، وبدء مراقبة القلب، وتوقع السوائل الوريدية
3. Cجفاف بسيط: تشجيع السوائل الفموية وإعادة فحص الدم الأسبوع القادم
4. Dآثار جانبية متوقعة للعلاج الكيميائي: لا حاجة إلى إجراء حتى الدورة التالية