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

Which bedside test is commonly used to check that a nasogastric tube is in the stomach before each use?

1. AAsking the patient whether it feels comfortable
2. BPutting the tube end in a cup of water
3. CTesting aspirate with pH paper
4. DListening for a "whoosh" of injected air

What is an incisional hernia?

1. AA bulge through a weakened surgical scar
2. BA bulge of stomach through the diaphragm
3. CA swelling in the groin present from birth
4. DA pouch in the wall of the colon

What is brachytherapy?

1. ARadiotherapy from a sealed source placed in or next to the tumour
2. BSurgery to remove a tumour through a small incision
3. CRadiotherapy given by a machine from outside the body
4. DChemotherapy given slowly into a vein over several hours each day

Which factor can precipitate hepatic encephalopathy in a patient with cirrhosis?

1. AA high fluid intake
2. BA low-salt diet
3. CRegular gentle walking
4. DConstipation

Which measure helps reduce the risk of delirium in an older surgical patient?

1. AMoving them to a new bed space each night to reduce boredom
2. BKeeping the room dark during the day
3. CMaking sure they have their glasses and hearing aids
4. DGiving a sleeping tablet every night

Which practice is correct when giving parenteral nutrition through a central line?

1. AUse a dedicated lumen and strict aseptic technique
2. BGive other IV drugs through the same lumen to save time
3. CDisconnect and reconnect the line without cleaning the hub
4. DLet the bag hang at room temperature for several days

Four hours after surgery, a catheterised patient's urine output has been 10 mL/h for two hours. Vital signs are stable. What should the nurse check first?

1. AThat the catheter and tubing are not kinked or blocked
2. BThe time the patient last ate
3. CYesterday's chest X-ray and blood gas results
4. DWhether the patient wants a cup of tea

مريض مصاب باعتلال الدماغ الكبدي قلق ليلًا. يُقترح بنزوديازيبين للنوم. ماذا ينبغي أن تفعل الممرضة؟

1. Aإعطاؤه، لأن الكبد لا يؤثر في المهدئات
2. Bالاستفسار عنه، لأن المهدئات قد تزيد اعتلال الدماغ سوءًا
3. Cإعطاؤه بضعف الجرعة المعتادة لضمان النوم
4. Dإعطاؤه وإيقاف اللاكتولوز لتجنب الإسهال