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

What is abdominal paracentesis?

1. ADraining fluid from the abdominal cavity with a needle or drain
2. BRemoval of the gallbladder through several small abdominal incisions
3. CInjection of dye into a vein in the arm
4. DA camera test of the lining of the large bowel

What is the main purpose of a surgical wound drain?

1. ATo give IV fluids and antibiotics straight into the wound bed
2. BTo remove fluid or blood that collects at the operation site
3. CTo measure the patient's temperature
4. DTo feed the patient after surgery

What is the main purpose of marking the surgical site before an operation?

1. ATo record the patient's allergy status
2. BTo prevent surgery on the wrong side or site
3. CTo tell the porter which theatre to go to
4. DTo show where the skin should be shaved

Which statement about pain relief in acute pancreatitis is correct?

1. AOnly paracetamol may be given
2. BOpioids can be used, and good analgesia is a priority
3. COpioids must never be used in pancreatitis
4. DPain relief should be withheld until the diagnosis is certain

لماذا قد ترتفع اليوريا أكثر بكثير من الكرياتينين لدى مريض نزف السبيل الهضمي العلوي؟

1. Aلأن بطانة المعدة النازفة تنتج اليوريا
2. Bلأن الكرياتينين يُفقد من الجسم في القيء
3. Cلأن النزف يتلف الأنابيب الكلوية مباشرة دائمًا
4. Dلأن الدم المهضوم حمل بروتيني يرفع اليوريا

Which advice may help reduce the risk of a parastomal hernia after stoma surgery?

1. AAvoid heavy lifting early on and use support garments as advised
2. BKeep the stoma bag as full as possible
3. CDo intensive sit-ups from the first week
4. DStrain hard on the toilet each day to strengthen the abdominal muscles

A patient with facial burns from a house fire was talking normally on arrival. Two hours later, the voice is hoarse and there is stridor. What should the nurse do?

1. AEncourage the patient to rest the voice and reassess tomorrow
2. BLay the patient flat to help them sleep
3. CGive a warm drink to soothe the throat
4. DCall for urgent anaesthetic help, as the airway is swelling

Six hours after surgery, a patient has not passed urine, has lower abdominal discomfort and a bladder scan shows 750 mL. What should the nurse do?

1. AGive a diuretic to increase urine flow
2. BWait another twelve hours before acting
3. CCatheterise as per protocol or prescription
4. DRestrict fluids until the urge returns