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

What is an incisional hernia?

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

ما أشيع سبب لانسداد الأمعاء الدقيقة لدى البالغين في البلدان المرتفعة الدخل؟

1. Aحصى المرارة العالقة في عنق المرارة
2. Bأجسام غريبة مبتلعة
3. Cسرطان القولون والمستقيم
4. Dالالتصاقات الناجمة عن جراحة سابقة

Which sign suggests acute cholecystitis?

1. APain that stops a deep breath when the right upper abdomen is pressed
2. BBruising around the umbilicus and over both flanks of the abdomen
3. CPain in the left lower abdomen when the right side is pressed
4. DA flapping tremor of the hands when the arms are held out

Which is a recognised cause of anaphylaxis during surgery?

1. AThe patient's own blood from cell salvage
2. BSterile normal saline
3. CChlorhexidine skin preparation
4. DA warmed blanket

What is achalasia?

1. AWeakness of the lower oesophageal sphincter that allows reflux
2. BFailure of the lower oesophageal sphincter to relax on swallowing
3. CA tear at the junction of the oesophagus and the stomach
4. DInflammation of the oesophagus caused by a fungal infection

Which treatment often relieves pain from a bone metastasis?

1. AA diet low in calcium and vitamin D
2. BComplete bed rest for a month
3. CIron supplements by mouth for several months
4. DPalliative radiotherapy to the area

During bowel preparation, an older patient becomes dizzy and confused. Blood tests show sodium 127 mmol/L. What should the nurse do?

1. AGive the rest of the preparation more quickly
2. BRecord it and continue as planned, as this is expected
3. CEncourage plain water only, as much as possible
4. DStop the preparation and escalate to the medical team

During radiotherapy to the chest, a patient develops pain on swallowing and is eating less. What is the most likely cause and nursing focus?

1. ARadiation oesophagitis; analgesia, soft food and nutrition support
2. BA heart attack; give aspirin and arrange an ECG
3. CA stomach ulcer; give an antacid after meals only
4. DNormal ageing; no action needed