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

لماذا يُدخل أنبوب أنفي معدي غالبًا في انسداد الأمعاء؟

1. Aلإعطاء ملينات لإزالة الانسداد
2. Bلتفريغ ضغط المعدة وتقليل التقيؤ
3. Cلقياس الضغط داخل الأمعاء
4. Dلإعطاء تغذية غنية بالألياف مباشرة متجاوزة الانسداد

If hair must be removed before surgery, which method is recommended?

1. AA wax strip several days before surgery
2. BA razor shave the night before surgery
3. CPulling the hairs out with tweezers
4. DElectric clippers on the day of surgery

What is brachytherapy?

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

Why are antibody levels checked after a healthcare worker receives the hepatitis B vaccine?

1. ATo confirm that the vaccine produced immunity
2. BTo measure liver damage caused by the vaccine
3. CTo check whether they caught hepatitis B from the vaccine
4. DTo decide whether they need a liver biopsy

Which nursing care helps a new skin graft take?

1. ARemoving the dressing every hour to look at it
2. BEncouraging the patient to exercise the area straight away
3. CKeeping the area still and avoiding shearing forces
4. DMassaging the graft firmly several times a day

Which rule about the sterile field is correct?

1. AA sterile pack stays sterile even when it is wet
2. BSterile items can be passed across a non-sterile area freely
3. CIf sterility is in doubt, the item is treated as contaminated
4. DThe area below a gowned person's waist is sterile

A patient finds daily wound dressing changes very painful. What is the most effective nursing approach?

1. AAvoid analgesia so the patient can report any problems during the change
2. BChange the dressing less often than the plan says
3. CGive analgesia timed so it works during the dressing change
4. DDo the dressing quickly and give analgesia afterwards

A surgical patient's MUST score is 3 and the wound is healing slowly. What is the most appropriate action?

1. ARepeat the score in three months' time
2. BRestrict protein to help the kidneys
3. CRefer to the dietitian, start a nutrition plan and monitor intake
4. DEncourage fasting to reduce wound exudate and the size of the dressing